Dunlap Eye Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DUNLAP EYE CLINIC, INC.

Practice address

204 S Wayne St
Angola, IN 46703-1937

Phone

(260) 665-5450

Fax

(260) 665-5860

NPI assigned

Sep 19, 2007

Last updated

Nov 16, 2009By 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

Dr. Keith O. Dunlap, O.D.

Title

President

Phone

(260) 665-5450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1659567139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031937",
            "telephone_number": "260-665-5450",
            "fax_number": "260-665-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031937",
            "telephone_number": "260-665-5450",
            "fax_number": "260-665-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLAP EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-665-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diabetic Equipment and Supplies LLC (Diabetic Equipment and Supplies)
• Richard Donovan Jr., LCSW
• Anna Marie Douglass, PT, DPT
• DRS. Baals and Wiegand Family Eye Care P.C.
• Dunlap Dental Solutions
• Penelope Lynn Dunlap, DDS
• Zoe Duval
• Audrey Janelle Ernst, NP
• Everside Health, LLC (Marathon Health, Angola IN)
• Martha Christine Faunce, BS

• Clinic/Center in Angola, IN
• Providers in Angola, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.