Active NPI
Kevin L Dunlap, OD
- Optometrist
- Greenwood, IN
National Provider Identifier
1023271996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002022
- Practice address
- 1251 U S 31 North
Sears Optical
Greenwood, IN 46142-4503 - Phone
- (317) 882-1905
- Fax
- (317) 882-1905
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002022 | IN | Primary |
Addresses
Primary practice location
1251 U S 31 North
Sears Optical
Greenwood, IN 46142-4503
Mailing address
1251 U S 31 North
Greenwood, IN 46142-4503
Phone (317) 882-1905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002022 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1023271996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 U S 31 NORTH",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461424503",
"telephone_number": "317-882-1905",
"fax_number": "317-882-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 U S 31 NORTH",
"address_2": "SEARS OPTICAL",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461424503",
"telephone_number": "317-882-1905",
"fax_number": "317-882-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.