Organization Active NPI

Scott and Dunagan, LLC

Doing business as Baldwin Eye Clinic

  • Optometrist
  • Bay Minette, AL
National Provider Identifier
1417105446
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SCOTT AND DUNAGAN, LLC
Doing business as
Baldwin Eye Clinic
Practice address
1811 Hand Ave
Bay Minette, AL 36507-4110
Phone
(251) 937-7631
Fax
(251) 937-7517
NPI assigned
Sep 3, 2008
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Kimberly M Dunagan, O.D.NPI 1699890160
Title
Member
Phone
(251) 937-7631

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1811 Hand Ave
Bay Minette, AL 36507-4110

Mailing address

1811 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 937-7631

Other names 1

  • Baldwin Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000381 AL Part B Supplier - Clinic/Group Practice 9032268750 Receives reassigned benefits from 2 practitioners
Practice locations: Bay Minette, AL

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1417105446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-937-7631",
            "fax_number": "251-937-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-937-7631",
            "fax_number": "251-937-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT AND DUNAGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-937-7631",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.