NPIMap

Organization Active NPI

Sue E. Van Dootingh OD

  • Durable Medical Equipment & Medical Supplies
  • Port Clinton, OH
National Provider Identifier
1780853317
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUE E. VAN DOOTINGH OD
Practice address
820 Jefferson St
Port Clinton, OH 43452-2416
Phone
(419) 732-2828
Fax
(419) 734-5914
NPI assigned
Feb 28, 2008
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Sue E Van Dootingh, ODNPI 1366518045
Title
Optometrist
Phone
(419) 732-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

820 Jefferson St
Port Clinton, OH 43452-2416

Mailing address

820 Jefferson St
Port Clinton, OH 43452-2416
Phone (419) 732-2828

National Provider Directory

National Provider Directory

Locations

820 Jefferson St
Port Clinton, OH 43452
Phone (419) 732-2828

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1780853317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JEFFERSON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522416",
            "telephone_number": "419-732-2828",
            "fax_number": "419-734-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JEFFERSON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522416",
            "telephone_number": "419-732-2828",
            "fax_number": "419-734-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE E. VAN DOOTINGH OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "VAN DOOTINGH",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-732-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.