Individual
DONALD E DLOUHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12728 W HAMPTON AVE, BUTLER, WI 53007-1602
(262) 781-8693
(262) 781-1468
Mailing address
12728 W HAMPTON AVE, BUTLER, WI 53007-1602
(262) 781-8693
(262) 781-1468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1863-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028578001
NATIONAL SUPPLIER
WI
05
—
38519900
—
WI
01
—
391466974
EYEMED
WI
01
—
915497
VIPA
WI
01
—
DE41133
SPECTERA
WI
Enumeration date
01/20/2007
Last updated
04/15/2009
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