NPIMap

Organization Active NPI

Thomas J. Doyle OD, PC

  • Optometrist
  • Dewitt, MI
National Provider Identifier
1093831216
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002644 Issued in MI
Legal business name
THOMAS J. DOYLE OD, PC
Practice address
13151 Schavey Rd
Dewitt, MI 48820-9016
Phone
(517) 669-2945
Fax
(517) 669-9707
NPI assigned
Mar 21, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Thomas John Doyle, ODNPI 1336214253
Title
Owner
Phone
(517) 669-2945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002644 MI Primary

Addresses

Primary practice location

13151 Schavey Rd
Dewitt, MI 48820-9016

Mailing address

13151 Schavey Rd
PO Box 335
Dewitt, MI 48820-9016
Phone (517) 669-2945

National Provider Directory

National Provider Directory

Locations

13151 Schavey Rd
Dewitt, MI 48820
Phone (517) 669-2945

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1093831216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "address_2": "PO BOX 335",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "517-669-2945",
            "fax_number": "517-669-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "517-669-2945",
            "fax_number": "517-669-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. DOYLE OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-669-2945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.