Organization Active NPI

Thomas P. Dunning O.D., P.C.

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1063547941
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003270 Issued in MI
Legal business name
THOMAS P. DUNNING O.D., P.C.
Practice address
335 Bridge St NW
#806
Grand Rapids, MI 49504-8706
Phone
(616) 272-4740
Fax
(616) 272-4740
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Thomas P. Dunning, O.D.
Title
President
Phone
(616) 272-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003270 MI Primary

Addresses

Primary practice location

335 Bridge St NW
#806
Grand Rapids, MI 49504-8706

Mailing address

335 Bridge St NW
#806
Grand Rapids, MI 49504-8706
Phone (616) 272-4740

Other identifiers 2

IdentifierTypeStateIssuer
3513761MedicaidMI
900D167570OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

1890 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3500

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1063547941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BRIDGE ST NW",
            "address_2": "#806",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495048706",
            "telephone_number": "616-272-4740",
            "fax_number": "616-272-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIDGE ST NW",
            "address_2": "#806",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495048706",
            "telephone_number": "616-272-4740",
            "fax_number": "616-272-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P. DUNNING O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "DUNNING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-272-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3513761",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900D167570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.