OrganizationActive
Andrew L Rust Optometrist Sc
NPI 1164655882 · Primary Care Clinic/Center · Plover, WI
Provider details
- NPI number
- 1164655882
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Rust, Owner/President(715) 341-3318
- License
- 2810 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
250 Crossroads Dr
Plover, WI 54467-4124
Phone: (715) 345-9588
Approximate (ZIP-level) locationGet directions
Mailing address
1510 Ashwood Dr
Plover, WI 54467-2466
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2009-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.