NPIMap

Organization Active NPI

David E. Duryea, O.D., P.C

Doing business as Advanced Eyecare & Contact Lens Center

  • Optometrist
  • Chesaning, MI
National Provider Identifier
1285847509
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAVID E. DURYEA, O.D., P.C
Doing business as
Advanced Eyecare & Contact Lens Center
Practice address
1555 Brady Road
Chesaning, MI 48616
Phone
(989) 845-7050
Fax
(989) 845-2036
NPI assigned
May 7, 2007
Last updated
Aug 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
David Eric Duryea, ODNPI 1679542633
Title
Owner
Phone
(989) 845-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1555 Brady Road
Chesaning, MI 48616

Mailing address

1555 Brady Road
Chesaning, MI 48616
Phone (989) 845-7050

Other identifiers 2

IdentifierTypeStateIssuer
94505795MedicaidMI
944316613MedicaidMI

Other names 1

  • Advanced Eyecare & Contact Lens Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Eyecare Contact Lens Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1285847509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BRADY ROAD",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "48616",
            "telephone_number": "989-845-7050",
            "fax_number": "989-845-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BRADY ROAD",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "48616",
            "telephone_number": "989-845-7050",
            "fax_number": "989-845-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. DURYEA, O.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "DURYEA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-845-7050",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94505795",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944316613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare & Contact Lens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesaning, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.