Provider Demographics
NPI:1538739263
Name:RINDE, JOSHUA ARYEH (OD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ARYEH
Last Name:RINDE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3167
Mailing Address - Country:US
Mailing Address - Phone:602-677-4856
Mailing Address - Fax:
Practice Address - Street 1:10347 77TH ST STE 618
Practice Address - Street 2:
Practice Address - City:PLEASANT PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53158-1137
Practice Address - Country:US
Practice Address - Phone:602-677-4856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3684-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist