MEDICARE: RICHARD D DAVENPORT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	19876	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18197019	OTHER	WI	PALMETTO GBA-RAILROAD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811999063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD D DAVENPORT MD

Provider Business Mailing Address
First Line	:	2424 S 90TH ST
Second Line	:	STE 506
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2455
Country	:	US
Telephone Number	:	414-328-8760
Fax Number	:	414-328-8763

Provider Business Practice Location Address
First Line	:	2424 S 90TH ST
Second Line	:	STE 506
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2455
Country	:	US
Telephone Number	:	414-328-8760
Fax Number	:	414-328-8763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/03/2015

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1881642031 — SARAH J YARBROUGH PA
Practice Location Address:

2424 S 90TH ST STE 200
WEST ALLIS, WI
53227-2455

Practice Phone: 414-328-8777
Practice Fax:

1831707991 — TERESA MARIE ILARDI PA
Practice Location Address:

2424 S 90TH ST
WEST ALLIS, WI
53227-2455

Practice Phone: 414-328-8150
Practice Fax: 414-328-8350

1518709070 — EMMA PEARSON STRONG
Practice Location Address:

2424 S 90TH ST STE 406
WEST ALLIS, WI
53227-2455

Practice Phone: 414-281-4466
Practice Fax:

1831700574 — DIANA BIELECKI NP
Practice Location Address:

2424 S 90TH ST STE 300
WEST ALLIS, WI
53227-2455

Practice Phone: 608-469-2903
Practice Fax:

1124013404 — DR. WALTER KHE TIAN WONG MD
Practice Location Address:

2424 S 90TH ST , SUITE 202
WEST ALLIS, WI
53227-2455

Practice Phone: 414-328-7646
Practice Fax: 414-328-7699

Directions to “ RICHARD D DAVENPORT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.