Jarrett Craig Lieder, OD
Optometrist in Oshkosh, WI. Individual provider (NPI-1).
NPI number1104745256
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104745256
- Entity type
- Individual (NPI-1)
- Name
- Jarrett Craig Lieder
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4157-35 | WI | Yes |
Practice location
2510 W 9th AveOshkosh, WI 54904-8125
Phone 920-426-2020
Mailing address
2510 W 9th AveOshkosh, WI 54904-8125
Phone 920-426-2020
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