NPI 1992794911 · live from the CMS NPI Registry
Dj Kontra MD & Associates Sc
Ophthalmology in Racine, WI. National Provider Identifier 1992794911, active.
NPI record
| NPI | 1992794911 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 5802 Washington Ave, Ste 102, Racine, WI 53406 |
| Practice phone | 262-886-9100 |
| Enumerated | October 21, 2005 |
| Last updated | April 25, 2008 |
| Authorized official | Dennis Kontra, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.