Doug's Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

332H00000X Issued in ND

Legal business name

DOUG'S OPTICAL, INC

Practice address

1547 University Dr S
Fargo, ND 58103-4156

Phone

(701) 235-5185

Fax

(701) 232-4965

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Douglas J Stavenger

Title

Owner

Phone

(701) 235-5185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1215351440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034156",
            "telephone_number": "701-235-5185",
            "fax_number": "701-232-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034156",
            "telephone_number": "701-235-5185",
            "fax_number": "701-232-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG'S OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "STAVENGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-235-5185"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ND",
            "license": "332H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lola Dosch, RN
• Jordan Doss, M.D.
• Amanda M Doster-Njie
• Marvis Ann Doster, RN, CARN
• Megan Ann Doty, M.S., CCC-SLP
• Anil Douglas
• Addisyn Kristine Douty
• Cadence Dove
• Jezzarae Joy Dovenmuehler
• Cherie Lynn Dowell, MPAS

• Eyewear Supplier in Fargo, ND
• Providers in Fargo, ND by specialty
• Eyewear Supplier in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.