David R Dufeck
Optometrist
301 N Broadway
Depere
, Wisconsin 54115
David R Dufeck
Optometrist
301 N Broadway
Depere
, Wisconsin 54115
(920) 338-1799
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- David R Dufeck
- 301 N Broadway
- Depere, WI
- Zip : 54115
- Fax : (920) 338-1799
- Phone : (920) 336-7700
Second Address
- David R Dufeck
- 301 N Broadway
- Depere, WI
- Zip : 54115
- Fax : (920) 338-1799
- Phone : (920) 336-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1428 | WI |
National Provider Identifier
| NPI | 1003927278 |
|---|---|
| Provider Name | David R Dufeck |
| First Address | Depere, WI 54115 |
| Second Address | Depere, WI 54115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 07/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38517800 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.