Active NPI
Van M Dunn
- Optometrist
- De Witt, AR
National Provider Identifier
1366432551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- D12262
- Legal business name
- VAN M DUNN
- Practice address
- 1703 S Whitehead Dr
De Witt, AR 72042-2911 - Phone
- (870) 946-1716
- Fax
- (870) 946-1561
- NPI assigned
- Oct 27, 2005
- Last updated
- Jun 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sue F Currie
- Title
- Office Manager
- Phone
- (870) 946-1716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | D12262 | AR | Primary |
Addresses
Primary practice location
1703 S Whitehead Dr
De Witt, AR 72042-2911
Mailing address
PO Box 294
De Witt, AR 72042-0294
Phone (870) 946-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100926722 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
609 W 13th St
Dewitt, AR 72042
Phone (870) 946-1120
129 W Waterman St
Dumas, AR 71639
Phone (870) 382-2394
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Newport, AR
- NPI 1336195320
-
- Family Nurse Practitioner
- De Witt, AR
- NPI 1023082575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1366432551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "DE WITT",
"state": "AR",
"postal_code": "720420294",
"telephone_number": "870-946-1716",
"fax_number": "870-946-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 S WHITEHEAD DR",
"city": "DE WITT",
"state": "AR",
"postal_code": "720422911",
"telephone_number": "870-946-1716",
"fax_number": "870-946-1561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN M DUNN",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "CURRIE",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "870-946-1716",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "D12262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100926722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in De Witt, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.