Dr T Gregory Dulos Optometrist PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS1167-3 Issued in KS

Legal business name

DR T GREGORY DULOS OPTOMETRIST PA

Practice address

1302 S Main St
Ottawa, KS 66067-3527

Phone

(785) 242-3707

Fax

(785) 242-3937

NPI assigned

Apr 1, 2011

Last updated

May 26, 2016By 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. Thomas Gregory Dulos, O.D.NPI 1538123765

Title

Owner

Phone

(785) 242-3707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DR T GREGORY DULOS OD Other name

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Thomas Gregory Dulos, O.D.

  • Optometrist
  • Ottawa, KS
  • NPI 1538123765
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1477842292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673527",
            "telephone_number": "785-242-3707",
            "fax_number": "785-242-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673527",
            "telephone_number": "785-242-3707",
            "fax_number": "785-242-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR T GREGORY DULOS OPTOMETRIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "DULOS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-242-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1167-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "KA2179",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217840C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR T GREGORY DULOS OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shawn M Dickinson
• Saige Marie Dixon-Peters, PHARMD
• Wendy Sue Dodd, LSCSW
• Jeffrey Doolittle, DPT
• Kristen Helen Dorsey
• Diane Zadra Drake, APRN
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Ewa Dubois, FNP-BC
• Thomas Gregory Dulos, O.D.
• Cassandra L Eanes-Brown, LMSW

• Optometrist in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.