Active NPI
Dolan Optometry P C
- Optometrist
- Shelby Township, MI
National Provider Identifier
1194877951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004391
- Legal business name
- DOLAN OPTOMETRY P C
- Practice address
- 48856 Van Dyke Ave
Shelby Township, MI 48317-2563 - Phone
- (586) 323-2066
- NPI assigned
- Jan 18, 2007
- 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
- Dr. David B Dolan, O.D
- Title
- Optometrist
- Phone
- (586) 323-2066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004391 | MI | Primary |
Addresses
Primary practice location
48856 Van Dyke Ave
Shelby Township, MI 48317-2563
Mailing address
48821 Meadowbrook CT
Shelby Township, MI 48317-2531
Phone (586) 254-9818
National Provider Directory
National Provider DirectoryLocations
48856 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 323-2066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194877951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48821 MEADOWBROOK CT",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483172531",
"telephone_number": "586-254-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48856 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483172563",
"telephone_number": "586-323-2066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLAN OPTOMETRY P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOLAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "586-323-2066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.