Healthcare Provider Details

I. General information

NPI: 1124930276
Provider Name (Legal Business Name): HEATHER RITTER OD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226100 RIB MOUNTAIN DR
WAUSAU WI
54401-3346
US

IV. Provider business mailing address

226100 RIB MOUNTAIN DR
WAUSAU WI
54401-3346
US

V. Phone/Fax

Practice location:
  • Phone: 715-241-9893
  • Fax:
Mailing address:
  • Phone: 715-241-9893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER RITTER
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 715-563-7139