| Dr David Earl Johanknecht, OD | |
|
269 Memorial Dr, Suite 103, Berlin, WI 54923 | |
| (920) 361-1696 | |
| (920) 361-1247 |
| Full Name | Dr David Earl Johanknecht |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 269 Memorial Dr, Berlin, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114078243 | NPI | - | NPPES |
| 38563200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1404-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Earl Johanknecht, OD Po Box 228, Berlin, WI 54923-0228 Ph: (920) 361-1696 | Dr David Earl Johanknecht, OD 269 Memorial Dr, Suite 103, Berlin, WI 54923 Ph: (920) 361-1696 |
Dr. Tammi L Sawallish, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr Ste 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Dr. Micheal Dean Gerber, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Berlin Family Eye Care Sc Optometrist Medicare: Medicare Enrolled Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 |