Active NPI
Terry P Duncan, OD
- Optometrist
- Columbus, OH
National Provider Identifier
1689749590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3067
- Practice address
- 6682 Sawmill Rd
Columbus, OH 43235-4943 - Phone
- (614) 889-4843
- Fax
- (614) 718-9380
- NPI assigned
- Nov 24, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3067 | OH | Primary |
Addresses
Primary practice location
6682 Sawmill Rd
Columbus, OH 43235-4943
Mailing address
2830 Woods Cresent
Grove City, OH 43123
Phone (614) 875-8403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0283778 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3067 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689749590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 WOODS CRESENT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "43123",
"telephone_number": "614-875-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6682 SAWMILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354943",
"telephone_number": "614-889-4843",
"fax_number": "614-718-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "TERRY",
"middle_name": "P",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0283778",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
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.