Dennis O'Bryan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2558 Issued in MI

Practice address

8422 M 119
Harbor Springs, MI 49740-9595

Phone

(231) 348-1255

Fax

(231) 348-3898

NPI assigned

Feb 15, 2006

Last updated

Apr 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1083688162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409595",
            "telephone_number": "231-348-1255",
            "fax_number": "231-348-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409595",
            "telephone_number": "231-348-1255",
            "fax_number": "231-348-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B46505",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-5071239",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENCE",
            "identifier": "DO002558",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeannie Ruth Norris, LMSW
• Michael Notorangelo, D.O.
• Mikayla Oppermann
• Orthoheat
• Lori Overholt-Kottke
• Kristy Joanelle Paterson, LMFT
• James Perry, PTA

• Optometrist in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.