IndividualActive
Charles Burgess, OD
NPI 1699768333 · Optometrist · Menasha, WI
Provider details
- NPI number
- 1699768333
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 2676 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1255 Appleton Rd
Menasha
Menasha, WI 54952-1501
Phone: (920) 722-6872
Fax: (920) 722-6335
Approximate (ZIP-level) locationGet directions
Mailing address
1255 Appleton Rd
Menasha, WI 54952-1501
Registry dates
- Enumerated
- 2005-08-29
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.