Active NPI
Taisiya V Dulin, OD
- Optometrist
National Provider Identifier
1871093062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2031
- Practice address
- 52ND Medical Group (Usafe)
Apo, AE 09126
DE - Phone
- (656) 561-8425
- NPI assigned
- Feb 14, 2018
- Last updated
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2031 | SC | Primary |
Addresses
Primary practice location
52ND Medical Group (Usafe)
Apo, AE 09126
DE
Mailing address
PSC 9 Box 3366
Apo, AE 09123-0034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- North Myrtle Beach, SC
- NPI 1326378647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1871093062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 9 BOX 3366",
"city": "APO",
"state": "AE",
"postal_code": "091230034"
},
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "52ND MEDICAL GROUP (USAFE)",
"city": "APO",
"state": "AE",
"postal_code": "09126",
"telephone_number": "656-561-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULIN",
"first_name": "TAISIYA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.