Active NPI
Daniel L. Gauerke, O.D.
- Optometrist
- Waupaca, WI
National Provider Identifier
1295835700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1938
- Practice address
- 815 W Fulton St Ste 3
Waupaca, WI 54981-1405 - Phone
- (715) 258-9122
- Fax
- (715) 258-3090
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1938 | WI | Primary |
Addresses
Primary practice location
815 W Fulton St Ste 3
Waupaca, WI 54981-1405
Mailing address
815 W Fulton St Ste 3
P.O. Box 437
Waupaca, WI 54981-1405
Phone (715) 258-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295835700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W FULTON ST STE 3",
"address_2": "P.O. BOX 437",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811405",
"telephone_number": "715-258-9122",
"fax_number": "715-258-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W FULTON ST STE 3",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811405",
"telephone_number": "715-258-9122",
"fax_number": "715-258-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUERKE",
"first_name": "DANIEL",
"middle_name": "L.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.