Active NPI
Clifford Gregory Dunn, O.D.
- Corneal and Contact Management Optometrist
- Halfmoon, NY
National Provider Identifier
1629134820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- T005588
- Practice address
- Wal Mart Vision Center
1549 Route 9
Halfmoon, NY 12065-5603 - Phone
- (518) 373-5756
- Fax
- (518) 373-5759
- NPI assigned
- Dec 29, 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | T005588 | NY | Primary |
Addresses
Primary practice location
Wal Mart Vision Center
1549 Route 9
Halfmoon, NY 12065-5603
Mailing address
43 Omega Ter
Latham, NY 12110-1957
Phone (518) 785-4424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T005588 | NY | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R. Kearney, MD, Eye Physician & Surgeon, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Johnstown, NY
- NPI 1336197011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629134820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 OMEGA TER",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101957",
"telephone_number": "518-785-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAL MART VISION CENTER",
"address_2": "1549 ROUTE 9",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655603",
"telephone_number": "518-373-5756",
"fax_number": "518-373-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CLIFFORD",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "T005588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.