NPIMap

Organization Active NPI

Dana E Gillin OD PC

Doing business as Eye Care Center

  • Optometrist
  • Tecumseh, MI
National Provider Identifier
1184801649
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003791 Issued in MI
Legal business name
DANA E GILLIN OD PC
Doing business as
Eye Care Center
Practice address
904 W Chicago Blvd
Suite a
Tecumseh, MI 49286-1213
Phone
(517) 423-2001
Fax
(517) 423-7030
NPI assigned
Jan 28, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dana E Gillin, OD PCNPI 1013914225
Title
Optometrist
Phone
(517) 423-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003791 MI Primary

Addresses

Primary practice location

904 W Chicago Blvd
Suite a
Tecumseh, MI 49286-1213

Mailing address

904 W Chicago Blvd
Suite a
Tecumseh, MI 49286-1213
Phone (517) 423-2001

Other names 1

  • Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

170 S Main St
Brooklyn, MI 49230
Phone (517) 592-3757

707 N Wisner St
Jackson, MI 49202
Phone (517) 784-0132

1414 W Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-2001

904 W Chicago Blvd
Ste A
Tecumseh, MI 49286
Phone (517) 423-2001

Practitioners & affiliated clinicians

Practitioners 3

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1184801649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W CHICAGO BLVD",
            "address_2": "SUITE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861213",
            "telephone_number": "517-423-2001",
            "fax_number": "517-423-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W CHICAGO BLVD",
            "address_2": "SUITE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861213",
            "telephone_number": "517-423-2001",
            "fax_number": "517-423-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA E GILLIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GILLIN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "517-423-2001",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.