Capital Eyes LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5026 Issued in OH

Legal business name

CAPITAL EYES LLC

Practice address

1355 S McCord Rd
Vision Center
Holland, OH 43528-9141

Phone

(419) 867-0544

Fax

(419) 867-0604

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David Timothy Duvendack, O.D.NPI 1922162320

Title

President

Phone

(419) 346-3216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• David Timothy Duvendack, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1922162320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1033346036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 OLD MILL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153023",
            "telephone_number": "419-867-0544",
            "fax_number": "419-867-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S MCCORD RD",
            "address_2": "VISION CENTER",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289141",
            "telephone_number": "419-867-0544",
            "fax_number": "419-867-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "DUVENDACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-346-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Holland, OH
• Providers in Holland, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.