NPIMap

Organization Active NPI

Michael J Duffy OD

  • Optometrist
  • Eureka, KS
National Provider Identifier
1275704116
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11193 Issued in KS
Legal business name
MICHAEL J DUFFY OD
Practice address
501 North Main
Eureka, KS 67045-1315
Phone
(620) 583-6471
Fax
(620) 583-6471
NPI assigned
Mar 19, 2008
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Dr. Michael Joseph Duffy, ODNPI 1639138670
Title
Owner
Phone
(620) 583-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11193 KS Primary

Addresses

Primary practice location

501 North Main
Eureka, KS 67045-1315

Mailing address

501 North Main
Eureka, KS 67045-1315
Phone (620) 583-6471

National Provider Directory

National Provider Directory

Locations

501 N Main St
Eureka, KS 67045
Phone (620) 583-6471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1275704116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NORTH MAIN",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451315",
            "telephone_number": "620-583-6471",
            "fax_number": "620-583-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NORTH MAIN",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451315",
            "telephone_number": "620-583-6471",
            "fax_number": "620-583-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J DUFFY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-583-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "11193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.