Dr David Earl Johanknecht, OD in Berlin, WI - Optometrist

Dr David Earl Johanknecht, OD is a Optometrist based in Berlin, Wisconsin. Dr David Earl Johanknecht is licensed to practice in Wisconsin (license number 1404-035) and his current practice location is 269 Memorial Dr, Suite 103, Berlin, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 361-1696.

NPI number for Dr David Earl Johanknecht is 1114078243 and his current mailing address is Po Box 228, Berlin, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114078243.

Contact Information

	Dr David Earl Johanknecht, OD
	269 Memorial Dr, Suite 103, Berlin, WI 54923
	(920) 361-1696
	(920) 361-1247

Healthcare Provider's Profile

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.

NPI Data:

NPI Number: 1114078243
Provider Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr David Earl Johanknecht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114078243	NPI	-	NPPES
38563200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1404-035 (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. Dr David Earl Johanknecht 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
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

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Optometrist in Berlin, WI

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

Dr David Earl Johanknecht, OD - Optometrist in Berlin, WI