Dana M Nolan OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC003292 Issued in FL

Legal business name

DANA M NOLAN OD PA

Practice address

3588 Saint Johns Ave
Jacksonville, FL 32205-8446

Phone

(904) 388-7767

Fax

(904) 388-0067

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dana Marie Nolan, ODNPI 1942296983

Title

President

Phone

(904) 388-7767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Marie Nolan, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1942296983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1952574246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058446",
            "telephone_number": "904-388-7767",
            "fax_number": "904-388-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058446",
            "telephone_number": "904-388-7767",
            "fax_number": "904-388-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA M NOLAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-7767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick L Daly, MD
• Ligeia C. Damaso, ARNP
• Steven Damato, RN
• Alexandra Damirkasan Rivera
• Delana Dampier
• Hunter Aaron Dancer
• Kimberly T Dancer
• Denise M. Dancull, SLP
• William E Dando, DMD
• Adelle Barros Dandridge, LM, CPM

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.