Douglas Craig Dolan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MT 518T Issued in MT

Practice address

20 Village Loop Rd
Kalispell, MT 59901-2793

Phone

(406) 756-8420

Fax

(406) 756-0119

NPI assigned

Mar 24, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dolan Family Vision, Inc.

  • Optometrist
  • Kalispell, MT
  • NPI 1922205244
  Authorized official Same address or phone
• Dolan Family Vision, Inc.

  • Optometrist
  • Kalispell, MT
  • NPI 1922206861
  NPD (past) Authorized official
• Whitefish Eye Center, LLC.

  • Optometrist
  • Whitefish, MT
  • NPI 1285644120
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225098130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012793",
            "telephone_number": "406-756-8420",
            "fax_number": "406-756-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012793",
            "telephone_number": "406-756-8420",
            "fax_number": "406-756-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "DOUGLAS",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "MT 518T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048-3157",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055-1038",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary H Dixon, PT, DPT, CFMT
• DME Direct Services LLC
• Rose Ellen Doepker, PHARMD
• Dolan Family Vision, Inc.
• Dolan Family Vision, Inc.
• Emily Dolan, PCLC
• Elizabeth Donahue, OTR/L
• Dan Donnelly, LAC
• Samantha Baker Dooley, M.D.
• Derin Aimee Dorsett, SWLC

• Optometrist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.