Organization Active NPI

Dunn & Pakulski Optometrists

  • Optometrist
  • Skowhegan, ME
National Provider Identifier
1699728154
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
645TA Issued in ME
Legal business name
DUNN & PAKULSKI OPTOMETRISTS
Practice address
10 High St
Skowhegan, ME 04976
Phone
(207) 474-9613
Fax
(207) 474-0849
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. David Alex Pakulski, OPTOMETRIST
Title
General Partner
Phone
(207) 474-9613

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 645TA ME Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 671TA ME
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 823TA ME

Addresses

Primary practice location

10 High St
Skowhegan, ME 04976

Mailing address

PO Box 608
Skowhegan, ME 04976-0608
Phone (207) 474-9613

Other identifiers 1

IdentifierTypeStateIssuer
122670000MedicaidME

National Provider Directory

National Provider Directory

Locations

3 High St
Skowhegan, ME 04976
Phone (207) 474-0849

10 High St
Skowhegan, ME 04976
Phone (207) 424-0010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1699728154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760608",
            "telephone_number": "207-474-9613",
            "fax_number": "207-474-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "04976",
            "telephone_number": "207-474-9613",
            "fax_number": "207-474-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN & PAKULSKI OPTOMETRISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "PAKULSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "207-474-9613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "645TA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "671TA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "823TA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122670000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.