David Paul Colby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

392 Issued in ND

Practice address

28 2ND St NW
Kenmare, ND 58746-7114

Phone

(701) 385-4004

Fax

(701) 385-4005

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optometry Clinic, PC

  • Optometrist
  • Kenmare, ND
  • NPI 1225686827
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1649243288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 2ND ST NW",
            "address_2": "PO BOX 857",
            "city": "KENMARE",
            "state": "ND",
            "postal_code": "587467114",
            "telephone_number": "701-385-4004",
            "fax_number": "701-385-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 2ND ST NW",
            "city": "KENMARE",
            "state": "ND",
            "postal_code": "587467114",
            "telephone_number": "701-385-4004",
            "fax_number": "701-385-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60306",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lindsey Mariah Clark
• Compass Health Inc
• Eric M Ganes, DDS
• Tesha Gustafson, O.D.
• Kevin John Holmgren, NREMT
• Sabrina Kay Jones

• Optometrist in Kenmare, ND
• Providers in Kenmare, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.