Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark A Dagenais, OD

Individual provider Optometrist · NPI 1316948516

Dr. Mark A Dagenais, OD is an Optometry in Milwaukee, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Trained at
Illinois College of Optometry at Chicago
Licensed in
WI
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3670 S 108th St Ste 204
Milwaukee, WI 53228-1237
Phone: (414) 453-1010
Fax: (414) 425-4230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2704 (WI)

Record details

NPI number1316948516
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address3670 S 108th St Ste 204, Milwaukee, WI 53228-1237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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