Andrew L Rust Optometrist Sc
Andrew L Rust Optometrist Sc is a healthcare organization registered as Primary Care Clinic/Center in Plover, WI, holding Type 2 (organization) NPI 1164655882 since 2009. The authorized official on file is Andrew Rust, Owner/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164655882 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Andrew L Rust Optometrist Sc |
| Practice address | 250 CROSSROADS DR, Plover, WI, 54467 |
| Phone | 7153459588 |
| Enumeration date | 2009-08-27 |
| Last updated in NPPES | 2009-08-27 |
Authorized official
| Name | Andrew Rust |
|---|---|
| Title | Owner/President |
| Phone | 7153413318 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 2810 | WI |
Copy-ready billing details
Provider: Andrew L Rust Optometrist Sc NPI: 1164655882 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 250 CROSSROADS DR, Plover, WI, 54467
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083631139 | Wal-Mart Stores East Lp | Organization | Community/Retail Pharmacy | Plover, WI |
| 1891802005 | Andrew Rust | Individual | Optometrist | Plover, WI |
| 1740364371 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Plover, WI |
| 1538379672 | Erinn Tubbs | Individual | Pharmacist | Plover, WI |
| 1477152643 | Kris Toelle | Individual | Pharmacist | Plover, WI |
| 1114526308 | Rebecca Merk-Benn | Individual | Pharmacist | Plover, WI |
| 1457950651 | Wendy Ludtke | Individual | Pharmacist | Plover, WI |
| 1356940514 | Derek Leonard | Individual | Pharmacist | Plover, WI |
Verify this record
Cross-check NPI 1164655882 against the authoritative CMS record: view Andrew L Rust Optometrist Sc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Andrew L Rust Optometrist Sc?
Who is the authorized official for Andrew L Rust Optometrist Sc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-08-27.