Barry Albert Dahlgren, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI1460 Issued in WI

Practice address

3670 S 108TH St
Ste 204
Greenfield, WI 53228-1237

Phone

(414) 453-1010

Fax

(414) 425-4230

NPI assigned

Jan 18, 2007

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Group SC

  • Optometrist
  • Waukesha, WI
  • NPI 1659332823
  Medicare reassignment NPD
• DRS. Dahlgren & Neitzke, Inc.

  • Corporate Health Clinic/Center
  • West Allis, WI
  • NPI 1073665923
  Authorized official Same address or phone
• Meadowbrook Eyecare

  • Optometrist
  • Waukesha, WI
  • NPI 1205607025
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1235281270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 W TRIPOLI AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532281723",
            "telephone_number": "414-543-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S 108TH ST",
            "address_2": "STE 204",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281237",
            "telephone_number": "414-453-1010",
            "fax_number": "414-425-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLGREN",
        "first_name": "BARRY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI1460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38511700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Culhane
• Breana Christine Cummens, MD
• Michelle Cummings, IBCLC
• Diana Czech, RN
• Derek Daanen, LPC, LPCC
• Charles L Dale III, LPC
• Linda Damian, OTR
• Ali Elizabeth Dammeir, SLP
• Daniel & Max, LLC
• Erin K Daube, DC

• Optometrist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.