Kenneth S Fabric, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16433 Issued in WI

Practice address

5150 N Port Washington Rd
#251
Milwaukee, WI 53217-5474

Phone

(414) 332-0606

Fax

(414) 967-3604

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699728659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "#251",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-332-0606",
            "fax_number": "414-967-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "#251",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-332-0606",
            "fax_number": "414-967-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIC",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "16433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30937400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "73843",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.