Organization Active NPI

Donovan Contact Lens Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
National Provider Identifier
1013197326
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5001000008 Issued in MI
Legal business name
DONOVAN CONTACT LENS CO INC
Practice address
33612 Schoolcraft Rd
Livonia, MI 48150-1540
Phone
(734) 425-3430
Fax
(734) 425-8090
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terrence N. Donovan, BCONPI 1386667517
Title
Ocularist
Phone
(734) 425-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5001000008 MI Primary

Addresses

Primary practice location

33612 Schoolcraft Rd
Livonia, MI 48150-1540

Mailing address

33612 Schoolcraft Rd
Livonia, MI 48150-1540
Phone (734) 425-3430

Other identifiers 2

IdentifierTypeStateIssuer
5090486MedicaidMI
71020000Q20959OtherMIBLUECROSS

National Provider Directory

National Provider Directory

Locations

33612 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 425-3430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1013197326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33612 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501540",
            "telephone_number": "734-425-3430",
            "fax_number": "734-425-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33612 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501540",
            "telephone_number": "734-425-3430",
            "fax_number": "734-425-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONOVAN CONTACT LENS CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OCULARIST",
        "authorized_official_telephone_number": "734-425-3430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5001000008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5090486",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "71020000Q20959",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.