Active NPI
Dunn & Pakulski Optometrists
- Optometrist
- Skowhegan, ME
National Provider Identifier
1699728154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 645TA
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 645TA | ME | Primary |
| Optometrist | 152W00000X | 671TA | ME | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122670000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Farmingdale, ME
- NPI 1750458931
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.