Organization Active NPI

E Doran Kasper OD PC

  • Optometrist
  • Fenton, MI
National Provider Identifier
1548566862
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002329 Issued in MI
Legal business name
E DORAN KASPER OD PC
Practice address
234 W. Caroline St.
Fenton, MI 48430-2807
Phone
(810) 629-5387
Fax
(810) 629-5390
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Edward Doran Kasper, OD
Title
President
Phone
(810) 629-5387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002329 MI Primary

Addresses

Primary practice location

234 W. Caroline St.
Fenton, MI 48430-2807

Mailing address

234 W. Caroline St.
Fenton, MI 48430-2807
Phone (810) 629-5387

National Provider Directory

National Provider Directory

Locations

234 W Caroline St
Fenton, MI 48430
Phone (248) 355-1323

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1548566862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W. CAROLINE ST.",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302807",
            "telephone_number": "810-629-5387",
            "fax_number": "810-629-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W. CAROLINE ST.",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302807",
            "telephone_number": "810-629-5387",
            "fax_number": "810-629-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E DORAN KASPER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "KASPER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DORAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-629-5387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.