Organization Active NPI

Dolan Optometry P C

  • Optometrist
  • Shelby Township, MI
National Provider Identifier
1194877951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004391 Issued in MI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.