Active NPI
Daniel M Durante OD PA
- Optometrist
- Port St Lucie, FL
National Provider Identifier
1124672795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DANIEL M DURANTE OD PA
- Practice address
- 954 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766 - Phone
- (772) 323-0960
- NPI assigned
- Jul 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Michael Durante
- Title
- Owner
- Phone
- (772) 672-3233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
954 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766
Mailing address
3468 NW Federal Hwy
Jensen Beach, FL 34957-4440
National Provider Directory
National Provider Directory- Tax ID family
- Daniel M Durante OD PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Jensen Beach, FL
- NPI 1942694385
-
- Eyewear Supplier
- Jensen Beach, FL
- NPI 1164638078
-
- Optometrist
- Jensen Beach, FL
- NPI 1952718728
Locations
954 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 323-0960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1124672795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 NW FEDERAL HWY",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 SW SAINT LUCIE WEST BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861766",
"telephone_number": "772-323-0960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL M DURANTE OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-31",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "DURANTE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-672-3233"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.