Dunn Eye Associates OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1780 Issued in NC

Legal business name

DUNN EYE ASSOCIATES OD PLLC

Practice address

3732 Creekshire CT
Winston Salem, NC 27103-1363

Phone

(336) 793-5904

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By 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

Dr. Leslie Dunn Nienaber, OD

Title

Optometrist/Lease Owner

Phone

(336) 793-5904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1417361601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 CREEKSHIRE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031363",
            "telephone_number": "336-793-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 CREEKSHIRE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031363",
            "telephone_number": "336-793-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN EYE ASSOCIATES OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DUNN",
        "authorized_official_title_or_position": "OPTOMETRIST/LEASE OWNER",
        "authorized_official_telephone_number": "336-793-5904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093G1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Dunevant, M.A. CCC-SLP
• Donna Parker Dunlap
• Kashya Dunlap
• Sophia Dunlap
• Andrew Jonathan Dunleavy, MSW, LCSWA
• Emily Renae Dunn, MD
• Kimberly Samantha Dunn, PA-C, MMS
• Leslie T Dunn, OD
• Lucy Dunn, MS, CCC-SLP
• Marie Jackson Dunn, CRNA

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.