Organization Active NPI

James E. Dunn, O.D., P.C.

  • Optometrist
  • Poteau, OK
National Provider Identifier
1174801195
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1104 Issued in OK
Legal business name
JAMES E. DUNN, O.D., P.C.
Practice address
901 Grace St
Poteau, OK 74953-2817
Phone
(918) 647-3866
Fax
(918) 647-3866
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
James Edward Dunn, O.D.
Title
Optometrist
Phone
(918) 647-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1104 OK Primary

Addresses

Primary practice location

901 Grace St
Poteau, OK 74953-2817

Mailing address

901 Grace St
Poteau, OK 74953-2817
Phone (918) 647-3866

Other identifiers 1

IdentifierTypeStateIssuer
100129320AMedicaidOK

National Provider Directory

National Provider Directory

Locations

901 Grace St
Poteau, OK 74953
Phone (918) 647-3866

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1174801195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRACE ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532817",
            "telephone_number": "918-647-3866",
            "fax_number": "918-647-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRACE ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532817",
            "telephone_number": "918-647-3866",
            "fax_number": "918-647-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. DUNN, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-647-3866",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.