Dunes Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DUNES OPTICAL, LLC

Practice address

1225 E Coolspring Ave
Michigan City, IN 46360-6312

Phone

(219) 878-5021

Fax

(219) 878-5002

NPI assigned

Sep 20, 2006

Last updated

Jul 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Bausback, O.D.

Title

Optometrist

Phone

(219) 878-5021

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dunes Optical, LLC

  • Optometrist
  • Michigan City, IN
  • NPI 1740825223

  O20100930078528

  Same enrollment

Practitioners 43

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.

• Laura G Zaknoun, OD

  • Optometrist
  • Michigan City, IN
  • NPI 1679617625
  NPD
• Amjad Alkadri, MD

  • Vascular & Interventional Radiology Physician
  • Valparaiso, IN
  • NPI 1407817513
  NPD (past)
• Maximo V. Bleza, D.O.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1619924461
  NPD (past)
• Marc S Bruell, DPM

  • Podiatrist
  • Chesterton, IN
  • NPI 1609874056
  NPD (past)
• Stephen Burns, M.D.

  • Orthopaedic Surgery Physician
  • Michigan City, IN
  • NPI 1184694242
  NPD (past)
• James Callaghan III, M.D.

  • Family Medicine Physician
  • Michigan City, IN
  • NPI 1790755866
  NPD (past)
• Carla Dreher, M.D.

  • Family Medicine Physician
  • Chesterton, IN
  • NPI 1306816475
  NPD (past)
• Douglas Dreher, M.D.

  • Family Medicine Physician
  • Chesterton, IN
  • NPI 1285604355
  NPD (past)
• Franklin Firestone, M.D.

  • Family Medicine Physician
  • Michigan City, IN
  • NPI 1164492245
  NPD (past)
• Rachel Iva Fischer, NP

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1912992652
  NPD (past)
• James M Forde, M.D.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1427098979
  NPD (past)
• Jeffrey M. Huth, M.D.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1265472716
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1306943436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463610310",
            "telephone_number": "219-878-5021",
            "fax_number": "219-878-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-878-5021",
            "fax_number": "219-878-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNES OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "BAUSBACK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "219-878-5021",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200157480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Thomas V. Tsoutsouris
• Amy Drenth, FNP-BC
• Meghan Drozdzewicz, PT
• Dsi Duneland Dialysis-Michigan City LLC (Duneland Dialysis Michigan City)
• Duneland Internal Medicine LLC
• Dunes Optical, LLC
• Dynamic Psychology, LLC
• Eaton Chiropractic Inc
• Matthew Robert Eaton, D.C
• Tamara Eaton, DDS

• Optometrist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.