PATRICK DUFFENBACH (NPI# 1902073570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902073570 |
| Entity Type | Individual |
| Full Name | PATRICK DUFFENBACH |
| Practice Address |
200 S Executive Dr Suite 101 Brookfield WI 53005-4216 |
| Mailing Address |
888 Worcester St Suite 130 Wellesley MA 02482-3744 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38461300 | 05 |
| Street Address |
200 S EXECUTIVE DR SUITE 101 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326079716 | Jeffrey L. Morer, Od, PC | Optometrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-07-05 |
| 1174140115 | Krista Lyn Fogltanz | Audiologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2020-06-25 |
| 1053953984 | Neuropsychological Services of Southeastern Wisconsin, Ltd | Clinical Neuropsychologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2019-10-11 |
| 1265968036 | Crystal Avery | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2017-05-11 |
| 1275914483 | Legacy Physiatry Group Wisconsin, LLC | Internal Medicine | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2015-06-12 |
| 1629377676 | Maria Christine Jenkins | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2011-03-16 |
| 1124338462 | Genevieve Pressman | Pedorthist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-10-20 |
| 1679886915 | Natasha Marie Ming | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-07-15 |
| 1447589783 | Ryan R. Blair | Hearing Instrument Specialist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-16 |
| 1679802409 | Impressions of Increase, Inc. | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720423742 | Usv Optical Inc. | Technician/Technologist | 106 Federal Rd, Brookfield, CT 06804-2536 | 2013-05-03 |
| 1962620633 | Milwaukee Eye Care Associates S.c. | Technician/Technologist | 17280 W North Ave, Suite 100, Brookfield, WI 53045-4366 | 2007-04-20 |
| 1710003330 | The Visions Group, Inc. | Technician/Technologist | 95 N Moorland Rd, Brookfield, WI 53005-6020 | 2007-03-22 |
| 1588793434 | Vision Mart, Inc | Technician/Technologist | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.