Active NPI
Douglas C Duggan, O.D.
- Optometrist
- Sunnyside, WA
National Provider Identifier
1629086160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD 3836
- Practice address
- 2926 Covey LN
Sunnyside, WA 98944-8941 - Phone
- (509) 836-2818
- Fax
- (509) 836-2235
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD 3836 | WA | Primary |
Addresses
Primary practice location
2926 Covey LN
Sunnyside, WA 98944-8941
Mailing address
6022 Thynewood Loop
West Richland, WA 99353-6076
Phone (509) 985-6149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037816 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031229000873 | WA | Practitioner - Optometry | 3577461573 | Practice locations: Sunnyside, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2926 Covey LN
Sunnyside, WA 98944-8941
Phone (509) 836-2818
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD 3836 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1629086160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6022 THYNEWOOD LOOP",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993536076",
"telephone_number": "509-985-6149",
"fax_number": "509-698-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 COVEY LN",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989448941",
"telephone_number": "509-836-2818",
"fax_number": "509-836-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "DOUGLAS",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-07-17",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD 3836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2037816",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.