Family Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

418 Issued in ND

Legal business name

FAMILY VISION CENTER INC

Practice address

522 Main St
Bottineau, ND 58318-1203

Phone

(701) 228-2219

Fax

(701) 228-2048

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Paul D Dunderland, ODNPI 1750599916

Title

President/Optometrist

Phone

(701) 228-2219

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Dwight Dunderland, O.D.

  • Optometrist
  • Bottineau, ND
  • NPI 1750599916

  ND, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1669787289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583180169",
            "telephone_number": "701-228-2219",
            "fax_number": "701-228-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 MAIN ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181203",
            "telephone_number": "701-228-2219",
            "fax_number": "701-228-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "DUNDERLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "701-228-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Dwight Dunderland, O.D.
• Elizabeth Ellis, DC
• William Emmel
• Marty Espe
• Essential Family Solutions
• Kathryn Joan Foster
• Nancy Gallagher
• Susan Marlene Gartner
• Stephen Gearey, ATC
• Cheyenne Elizabeth Gillespie, RPH

• All providers in Bottineau, ND
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.