DRS. PAUL M GODICH AND MARK A DAGENAIS OPTOMETRISTS LLC
NPI 1184054363
Optometrist in Hales Corners, WI

Q: What is Drs. Paul M Godich And Mark A Dagenais Optometrists LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 25, 2013

10555 W PARNELL AVE, HALES CORNERS, WI 53130(414) 425-4141(414) 425-4230 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Drs. Paul M Godich And Mark A Dagenais Optometrists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRS. PAUL M GODICH AND MARK A DAGENAIS OPTOMETRISTS LLC (NPI 1184054363) is a healthcare organization registered as an optometrist in Hales Corners, Wisconsin and active in the NPI registry since November 2013. The organization lists Mark A Dagenais, Partner, as its authorized official.

NPPES Registry Identity

NPI1184054363

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDRS. PAUL M GODICH AND MARK A DAGENAIS OPTOMETRISTS LLC

Location Address10555 W PARNELL AVEHales Corners, WI 53130-2000

Mailing Address10555 W Parnell AveHales Corners, WI 53130-2000 · (414) 425-4141 · Fax (414) 425-4230

Phone(414) 425-4141

Fax(414) 425-4230

Organization SubpartNo

Authorized OfficialMark A DagenaisPartner · (414) 425-4141

Enumeration DateNovember 25, 2013

Last NPPES UpdateFebruary 19, 2014

✔ NPI 1184054363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

10555 W PARNELL AVE, Hales Corners, WI 53130

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Other Identifiers 2

Medicare PINK100114996

Medicare UPIN687620002WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. S JOHN KIM MD

Psychiatry & Neurology (Psychiatry)

10555 W PARNELL AVE
HALES CORNERS, WI 53130

Milwaukee County (414) 427-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drs. Paul M Godich And Mark A Dagenais Optometrists LLC's NPI number?

The NPI number for Drs. Paul M Godich And Mark A Dagenais Optometrists LLC is 1184054363. It was assigned to this organization in the NPPES registry on November 25, 2013.

Where is Drs. Paul M Godich And Mark A Dagenais Optometrists LLC located?

Drs. Paul M Godich And Mark A Dagenais Optometrists LLC is located at 10555 W Parnell Ave, Hales Corners, WI 53130. The listed phone number is (414) 425-4141.

What is Drs. Paul M Godich And Mark A Dagenais Optometrists LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Drs. Paul M Godich And Mark A Dagenais Optometrists LLC was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.