Corey Dunlop, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002425 Issued in AZ

Practice address

1025 S Power Rd Ste 102
Mesa, AZ 85206-5240

Phone

(480) 325-6277

Fax

(480) 325-6278

NPI assigned

Jul 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Cantley Vision Inc PSGroup PAC ID 9638162738, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cantley Vision Inc PS

  • Optometrist
  • Richland, WA
  • NPI 1811109671
  Medicare reassignment Care Compare group NPD
• Eyecare Vision and Optical

  • Optometrist
  • Kennewick, WA
  • NPI 1346412582
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1053939306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 E DUBLIN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950284",
            "telephone_number": "509-899-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065240",
            "telephone_number": "480-325-6277",
            "fax_number": "480-325-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "COREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Maria Dulis, PT, DPT, CSCS
• Elizabeth Dumire, RBT
• Shanen Dunagan, CEO
• Justin Dunaway, PT
• Heather Duncan, RPH
• Dunn Counseling Organization
• Taylor Dunnahoo, M.S., CCC-SLP
• Danielle Dunny, DPT
• Peter Duong, PA
• VI Duong

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.