NPIMap

Organization Active NPI

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

Doing business as Advanced Eyecare & Contact Lens Center

  • Optometrist
  • Owosso, MI
National Provider Identifier
1386612521
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002587 Issued in MI
Legal business name
DAVID E. DURYEA, O.D., P.C.
Doing business as
Advanced Eyecare & Contact Lens Center
Practice address
123 S Shiawassee St
Owosso, MI 48867-2744
Phone
(989) 725-8422
Fax
(989) 723-7914
NPI assigned
Mar 14, 2006
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
Dr. David Eric Duryea, O.D.NPI 1679542633
Title
President
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 4901002587 MI Primary

Addresses

Primary practice location

123 S Shiawassee St
Owosso, MI 48867-2744

Mailing address

123 S Shiawassee St
Owosso, MI 48867-2744
Phone (989) 725-8422

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.

Locations

123 S Shiawassee St
Owosso, MI 48867
Phone (989) 725-8422

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1386612521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S SHIAWASSEE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672744",
            "telephone_number": "989-725-8422",
            "fax_number": "989-723-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S SHIAWASSEE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672744",
            "telephone_number": "989-725-8422",
            "fax_number": "989-723-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. DURYEA, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "989-845-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare & Contact Lens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, 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.