David Earl Johanknecht, OD

Optometrist · Berlin, WI

Individual Active NPI

NPI number 1114078243

Practice location

269 Memorial Dr
Suite 103
Berlin, WI 54923
Phone
(920) 361-1696
Fax
(920) 361-1247

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NPI record

NPI
1114078243
Entity type
Individual (Type 1)
Enumeration date
January 16, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1404-035 WI

Mailing address

PO Box 228
Berlin, WI 54923-0228
Phone
(920) 361-1696
Fax
(920) 361-1247

About Dr. Johanknecht

David Earl Johanknecht, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 269 Memorial Dr, Suite 103, Berlin, WI 54923. The NPI number 1114078243 was assigned on January 16, 2007 and the record was last updated on July 8, 2007.

Dr. Johanknecht lists a license in the registry: #1404-035 (WI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Earl Johanknecht, OD?

The NPI number is 1114078243.

What is the phone number of Dr. Johanknecht?

The phone number listed for the practice location is (920) 361-1696.

Where is Dr. Johanknecht located?

269 Memorial Dr, Suite 103, Berlin, WI 54923.

What is the taxonomy code for Dr. Johanknecht?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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