Organization Active NPI

Dion J Dulay, MD, PC

  • Eyewear Supplier
  • Evansville, IN
National Provider Identifier
1073793576
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DION J DULAY, MD, PC
Practice address
5200 Washington Ave
Suite 3000
Evansville, IN 47715-4863
Phone
(812) 476-1462
Fax
(812) 473-3938
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Dion J Dulay, MDNPI 1073516449
Title
Owner/Ceo
Phone
(812) 476-1462

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 01031016 IN
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

5200 Washington Ave
Suite 3000
Evansville, IN 47715-4863

Mailing address

5200 Washington Ave
Suite 3000
Evansville, IN 47715-4863
Phone (812) 476-1462

Other identifiers 2

IdentifierTypeStateIssuer
100246730AMedicaidIN
0989540001OtherINDMERC REGION B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000451 IN Part B Supplier - Clinic/Group Practice 9830219211 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

5200 Washington Ave
Ste 3000
Evansville, IN 47715
Phone (812) 476-1462

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1073793576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "SUITE 3000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154863",
            "telephone_number": "812-476-1462",
            "fax_number": "812-473-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "SUITE 3000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154863",
            "telephone_number": "812-476-1462",
            "fax_number": "812-473-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DION J DULAY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "DULAY",
        "authorized_official_first_name": "DION",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "812-476-1462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "01031016",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246730A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION B",
            "identifier": "0989540001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.