David Timothy Duvendack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH5026 Issued in OH

Practice address

4445 Woodmont Rd
Toledo, OH 43613-3320

Phone

(419) 346-3216

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capital Eyes LLC

  • Optometrist
  • Holland, OH
  • NPI 1033346036
  Medicare reassignment NPD Authorized official
• Invision Eye Care Inc

  dba Invision Eye Care

  • Optometrist
  • Findlay, OH
  • NPI 1972633931
  NPD (past) Authorized official
• Dr Steven Lutz & Associates PC

  • Optometrist
  • Ann Arbor, MI
  • NPI 1972792455
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1922162320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351627",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436351627",
            "telephone_number": "419-425-9273",
            "fax_number": "419-423-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 WOODMONT RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133320",
            "telephone_number": "419-346-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVENDACK",
        "first_name": "DAVID",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Scott Duty, PCC
• Katie Duval
• Lauren Marie Duvall, CNP
• Thomas Lee Duvall, LISW
• Zachary Duvall
• Dva Healthcare Renal Care Inc (Swan Creek Dialysis)
• Dwinters
• Lance D Dworkin, MD
• Danielle Lynn Dwyer, PHD
• Mary Florence Dwyer, FNP

• Optometrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.