Organization Active NPI

Dr John a Duggan Inc

  • Optometrist
  • Chelmsford, MA
National Provider Identifier
1265507826
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2186 Issued in MA
Legal business name
DR JOHN A DUGGAN INC
Practice address
3 Courthouse LN
Unit 1
Chelmsford, MA 01824
Phone
(978) 453-3541
Fax
(978) 458-3598
NPI assigned
Nov 21, 2006
Reactivated
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. John Andrew Duggan, OD
Title
President
Phone
(978) 453-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2186 MA Primary

Addresses

Primary practice location

3 Courthouse LN
Unit 1
Chelmsford, MA 01824

Mailing address

3 Courthouse LN
Unit 1
Chelmsford, MA 01824
Phone (978) 453-3541

Other identifiers 2

IdentifierTypeStateIssuer
0304603MedicaidMA
9709959MedicaidMA

National Provider Directory

National Provider Directory

Locations

3 Courthouse Ln
Ste A1
Chelmsford, MA 01824
Phone (978) 453-3541

3 Courthouse Ln
#A1
Chelmsford, MA 01824
Phone (978) 453-3541

3 Courthouse Ln
Ste 1
Chelmsford, MA 01824
Phone (978) 453-3541

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1265507826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COURTHOUSE LN",
            "address_2": "UNIT 1",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-453-3541",
            "fax_number": "978-458-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COURTHOUSE LN",
            "address_2": "UNIT 1",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-453-3541",
            "fax_number": "978-458-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN A DUGGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-12-07",
        "deactivation_date": "2008-04-22",
        "reactivation_date": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-453-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304603",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9709959",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

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