Summit Eye Clinic Sc
Summit Eye Clinic Sc is a healthcare organization registered as Optometrist in Oconomowoc, WI, holding Type 2 (organization) NPI 1679520845 since 2006. The authorized official on file is Randy Prestash, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679520845 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Summit Eye Clinic Sc |
| Practice address | 608 EAST SUMMIT AVE, Oconomowoc, WI, 53066 |
| Phone | 2625676565 |
| Fax | 2625678214 |
| Enumeration date | 2006-05-31 |
| Last updated in NPPES | 2011-03-11 |
Authorized official
| Name | Randy Prestash |
|---|---|
| Title | President |
| Phone | 2625676565 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 1780 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38711000 | Medicaid | WI | — |
Copy-ready billing details
Provider: Summit Eye Clinic Sc NPI: 1679520845 Taxonomy: 152W00000X (Optometrist) Address: 608 EAST SUMMIT AVE, Oconomowoc, WI, 53066
Verify this record
Cross-check NPI 1679520845 against the authoritative CMS record: view Summit Eye Clinic 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
How current is this record?
Where is Summit Eye Clinic Sc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-03-11.