Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J BURGESS, OD
ActiveDR. CHARLES J BURGESS, OD is a Optometrist healthcare provider located in MENASHA, Wisconsin. NPI 1699768333 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MENASHA, WI
Registration Details
- NPI Number
- 1699768333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2005 (20.993578278244 yrs)
- Last Updated
- May 8, 2008
- License
-
2676 (WI)
Practice Information
- Address
-
1255 APPLETON RDMENASHAMENASHA, WI, 549521501Browse WI providers · Browse ZIP 54952
- Phone
- 9207226872
- Fax
- 9207226335
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MENASHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. ANNETTE J WILDE | OD | 1205829942 |
| AMY S LAHAY | OD | 1063407476 |
| FRANCIE LAEYENDECKER | OD | 1962477240 |
| RICHARD RAYMOND TOELLNER | O.D. | 1881647030 |
| MS. MEGAN LOUISE THISTLE | OD | 1659734911 |
| DR. NATHAN MICHAEL LARSON | OD | 1073207445 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.