David R Dufeck, OD is a
Optometrist based in Depere, Wisconsin. David R Dufeck is licensed to practice in Wisconsin (license number 1428) and his current practice location is
301 N Broadway, Depere, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 336-7700.
NPI number for David R Dufeck is 1003927278 and his current mailing address is 301 N Broadway, Depere, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003927278.
Healthcare Provider's Profile
| Full Name | David R Dufeck |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
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| Location | 301 N Broadway, Depere, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003927278
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/07/2009
Medical Identifiers
Medical identifiers for David R Dufeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003927278 | NPI | - | NPPES |
| 38517800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1428 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David R Dufeck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David R Dufeck, OD
301 N Broadway,
Depere, WI 54115
Ph: (920) 336-7700 | David R Dufeck, OD
301 N Broadway,
Depere, WI 54115
Ph: (920) 336-7700 |
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