Search › Wisconsin › 152W00000X
Randy Prestash, OD
NPI 1760516256 · on the registry since 2007
Practice
- Address
- 608 Summit Ave
Oconomowoc, WI 53066 - Phone
- (262) 567-6565
- Fax
- (262) 567-8214
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin