PAUL D MANDEL MD SC NPI 1366531865

NPI Information

  • NPI: 1366531865
  • Provider Name: PAUL D MANDEL MD SC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 5150 N PORT WASHINGTON RD
    SUITE 167
    GLENDALE, WI
    ZIP 53217
  • Phone: (414) 224-7686

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NPI Details

PAUL D MANDEL MD SC is an ophthalmology in Glendale, WI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PAUL D MANDEL MD SC NPI is 1366531865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5150 N PORT WASHINGTON RD
SUITE 167
GLENDALE, WI
ZIP 53217-474
Phone: (414) 224-7686
Fax: (414) 224-7685

The provider's authorized official is Paul D Mandel .
The authorized official title is President/owner and has the following contact phone number (414) 224-7686.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology23817WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000068763MEDICARE PINWISCONSIN
2000073752MEDICARE PINWISCONSIN
330592500MEDICAIDWISCONSIN
4B54795MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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