Organization Active NPI

Dana L. Donaldson, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1639288863
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANA L. DONALDSON, OD
Practice address
201 Pennsylvania Pkwy
Indianapolis, IN 46280-2301
Phone
(317) 817-1333
Fax
(317) 871-1331
NPI assigned
Aug 30, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dana L Donaldson, OD
Title
Owner
Phone
(317) 817-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

201 Pennsylvania Pkwy
Indianapolis, IN 46280-2301

Mailing address

PO Box 68952
Indianapolis, IN 46268-0952
Phone (317) 870-6721

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1639288863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-870-6721",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENNSYLVANIA PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802301",
            "telephone_number": "317-817-1333",
            "fax_number": "317-871-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA L. DONALDSON, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-817-1333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.