| Richard D Davenport, MD | |
| 
					2424 S 90th St, Ste 506, West Allis, WI 53227-2455  | |
| (414) 328-8760 | |
| (414) 328-8763 | 
| Full Name | Richard D Davenport | 
|---|---|
| Gender | Male | 
| Speciality | Ophthalmology | 
| Location | 2424 S 90th St, West Allis, Wisconsin | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811999063 | NPI | - | NPPES | 
| 18197019 | Other | WI | PALMETTO GBA-RAILROAD | 
| 30939300 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 19876 (Wisconsin) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richard D Davenport, MD 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 Ph: (414) 328-8760  | Richard D Davenport, MD 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 Ph: (414) 328-8760  | 
Dr. Mark Freedman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383  | |
Daniel Ferguson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383  | |
Brett Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, Suite 100, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383  | |
Robert Sucher, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383  | |
Daniel M Paskowitz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520  |