Organization Active NPI

Dunn Optometry

  • Optometrist
  • Lansing, MI
National Provider Identifier
1245468511
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004501 Issued in MI
Legal business name
DUNN OPTOMETRY
Practice address
2925 Towne Centre Blvd
Lansing, MI 48912-5650
Phone
(517) 482-0752
Fax
(517) 482-0941
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Tamara Lareen Dunn, O.D.
Title
Optometrist
Phone
(810) 275-3379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004501 MI Primary

Addresses

Primary practice location

2925 Towne Centre Blvd
Lansing, MI 48912-5650

Mailing address

515 E Reid Rd Apt 6
Grand Blanc, MI 48439-1238
Phone (810) 275-3379

Other identifiers 2

IdentifierTypeStateIssuer
200000020633OtherMIPHYSICIANS HEALTH PLAN
900C317780OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1245468511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E REID RD APT 6",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391238",
            "telephone_number": "810-275-3379",
            "fax_number": "517-482-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 TOWNE CENTRE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125650",
            "telephone_number": "517-482-0752",
            "fax_number": "517-482-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LAREEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-275-3379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000020633",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900C317780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.