NPIMap

Organization Active NPI

Errol R Congleton OD PC

  • Optometrist
  • Midland, MI
National Provider Identifier
1851594246
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002565 Issued in MI
Legal business name
ERROL R CONGLETON OD PC
Practice address
509 S Saginaw Rd
Midland, MI 48640-4516
Phone
(989) 835-2020
Fax
(989) 835-6192
NPI assigned
Jun 6, 2007
Last updated
Oct 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Errol Raymond Congleton, O.D.NPI 1962547299
Title
Optometrist
Phone
(989) 835-2020

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
Optometrist 152W00000X 4901002565 MI Primary

Addresses

Primary practice location

509 S Saginaw Rd
Midland, MI 48640-4516

Mailing address

509 S Saginaw Rd
Midland, MI 48640-4516
Phone (989) 835-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1851594246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404516",
            "telephone_number": "989-835-2020",
            "fax_number": "989-835-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404516",
            "telephone_number": "989-835-2020",
            "fax_number": "989-835-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERROL R CONGLETON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "CONGLETON",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-835-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.