Dagenais Eye Services, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2760 Issued in MN

Legal business name

DAGENAIS EYE SERVICES, INC

Practice address

2510 Maple Grove Rd
Suite 500
Duluth, MN 55811-1864

Phone

(218) 740-3000

Fax

(715) 398-0104

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By 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

Verne Dagenais, O.D.

Title

Optometrist

Phone

(218) 740-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1609013895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 MAPLE GROVE RD",
            "address_2": "SUITE 500",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111864",
            "telephone_number": "218-740-3000",
            "fax_number": "715-398-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MAPLE GROVE RD",
            "address_2": "SUITE 500",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111864",
            "telephone_number": "218-740-3000",
            "fax_number": "715-398-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGENAIS EYE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "DAGENAIS",
        "authorized_official_first_name": "VERNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "218-740-3000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Duluth, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.