Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114078243 Individual Practitioner Male Practitioner

Dr. David Earl Johanknecht , OD

Optometrist • Berlin, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Johanknecht, OD is a registered healthcare professional specializing in Optometrist in Berlin, WI. Practice services are available at 269 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

269 Memorial Dr
Suite 103

Berlin, WI 54923

Telephone 9203611696
Fax 9203611247
Associated Practice Facility / Clinic
🏢 Berlin Family Eye Care Sc Facility NPI 1720139850

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Berlin, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Berlin, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 1404-035

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38563200 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1225063514

Doctor of Optometry

NPI 1669523791

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 269 MEMORIAL DR, SUITE 103, BERLIN, WI 54923 (Tel: 9203611696)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 228, BERLIN, WI 549230228 (Tel: 9203611696)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID JOHANKNECHT, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1404-035 in WI)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114078243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 228

Berlin, WI 549230228

Phone: 9203611696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.