David Lefevre, OD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1555 Issued in WA

Legal business name

DAVID LEFEVRE, OD, PLLC

Practice address

1570 Wilmington Dr
Suite 160
Dupont, WA 98327-8773

Phone

(253) 912-0900

Fax

(253) 912-8080

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Lefevre, OD

Title

Sole Proprietor

Phone

(253) 912-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dupont Family Vision Doing business as

Locations

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1710318522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR",
            "address_2": "SUITE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "253-912-0900",
            "fax_number": "253-912-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR",
            "address_2": "SUITE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "253-912-0900",
            "fax_number": "253-912-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEFEVRE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "253-912-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124183264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupont Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dahlke Orthodontics LLC
• Kirk Ray Dahlke, DDS
• Sabrina Damato
• Carline Dasilva
• Artyom Nicholas Davenport, LMP
• Iahna Marie Davis
• Brianna E De Barros
• Alexsis De Leon
• Cherryl Deanne
• Kira Deloney

• Medical Specialty Clinic/Center in Dupont, WA
• Providers in Dupont, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.