DR. PAUL R DALECKY (O.D.) – Optometrist, NPI 1790741809

DR. PAUL R DALECKY (O.D.) is a healthcare provider. based in New berlin, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1709 (WI). The NPI Number for DR. PAUL R DALECKY (O.D.) is 1790741809

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL R DALECKY (O.D.)
NPI
1790741809
Phone
(262) 432-2005
Address
16800 W CLEVELAND AVE
Enumeration Date
26 April 2006
Last Update Date
8 January 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4148970152
Graduation Year
1979 (47 years ago)
PAC ID
9537190012
Group Practice PAC ID
5698676518
Professional Enrollment ID
I20060427000116
Address ID
WI532174920GL5530XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

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Provider Addresses for DR. PAUL R DALECKY (O.D.)

  • 16800, West Cleveland Avenue, New Berlin Industrial Park, New Berlin, Waukesha County, Wisconsin, 53151, United States

    NEW BERLIN, WI 531513533

    Phone: (262) 432-2005

    Type: Mailing

  • 1918,1920,1922, West Layton Avenue, Wilson Park, Airport Gateway, Milwaukee, Milwaukee County, Wisconsin, 53221, United States

    MILWAUKEE, WI 532215310

    Phone: (414) 325-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($406).

Total Amount

$448

General + Research + Ownership

Payments

33

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060427000116IOptometryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53151)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698676518View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YWI
-IN
O P T O M E T R YWI
O P T O M E T R YWI
-WI
O P T O M E T R YCA
O P T O M E T R YWI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PAUL R DALECKY (O.D.)'s NPI?
Yes. DR. PAUL R DALECKY (O.D.) is listed with NPI 1790741809 in the public NPI dataset.
Does the file indicate DR. PAUL R DALECKY (O.D.) is practicing under active NPI?
Directory data currently reports DR. PAUL R DALECKY (O.D.) as active.
What is DR. PAUL R DALECKY (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. PAUL R DALECKY (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. PAUL R DALECKY (O.D.) serve?
DR. PAUL R DALECKY (O.D.)'s listing highlights New Berlin, Wisconsin; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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