Dunlap Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000500 Issued in PA

Legal business name

DUNLAP FAMILY EYE CARE LLC

Practice address

34 N Stewart St
Blairsville, PA 15717-1342

Phone

(724) 459-8855

Fax

(724) 459-8867

NPI assigned

Jan 22, 2007

Last updated

Feb 16, 2011By 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

Adam Dunlap, O.D.NPI 1710978465

Title

Optometrist Owner

Phone

(724) 459-8855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Adam David Dunlap, OD

  • Optometrist
  • Latrobe, PA
  • NPI 1710978465
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1629122569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 RIDGEVIEW CIR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N STEWART ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171342",
            "telephone_number": "724-459-8855",
            "fax_number": "724-459-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLAP FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "724-459-8855",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001898505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.