Provider Demographics
NPI:1477049443
Name:RINGLE, ELLEN PATRICIA (OD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:PATRICIA
Last Name:RINGLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9830 MARIPOSA LN APT 211
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-5606
Mailing Address - Country:US
Mailing Address - Phone:262-424-1601
Mailing Address - Fax:
Practice Address - Street 1:443 PEWAUKEE RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-5886
Practice Address - Country:US
Practice Address - Phone:262-956-6715
Practice Address - Fax:262-956-6716
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3512-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist