NPI 1811999063 · live from the CMS NPI Registry
Richard D Davenport, MD
Ophthalmology in West Allis, WI. National Provider Identifier 1811999063, active.
NPI record
| NPI | 1811999063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2424 S 90th St, Ste 506, West Allis, WI 53227 |
| Practice phone | 414-328-8760 |
| Enumerated | June 1, 2005 |
| Last updated | December 3, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 19876 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.