Organization Active NPI

David P Bucurel OD Inc

  • Eyewear Supplier
  • Mentor, OH
National Provider Identifier
1124456520
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3332T1180 Issued in OH
Legal business name
DAVID P BUCUREL OD INC
Practice address
9354 Mentor Ave Ste 6
Mentor, OH 44060-6467
Phone
(440) 255-1929
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. David P Bucurel, D.O
Title
President
Phone
(440) 255-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 3332T1180 OH Primary

Addresses

Primary practice location

9354 Mentor Ave Ste 6
Mentor, OH 44060-6467

Mailing address

9354 Mentor Ave Ste 6
Mentor, OH 44060-6467
Phone (440) 255-1929

National Provider Directory

National Provider Directory

Locations

9354 Mentor Ave
Ste 6
Mentor, OH 44060
Phone (440) 255-1929

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": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1124456520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 MENTOR AVE STE 6",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606467",
            "telephone_number": "440-255-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9354 MENTOR AVE STE 6",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606467",
            "telephone_number": "440-255-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P BUCUREL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BUCUREL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-255-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "3332T1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.