Michael Patrick Duffy, D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

189067 Issued in TX

Practice address

121 W San Antonio St
San Marcos, TX 78666-5551

Phone

(512) 982-9242

Fax

(512) 879-9039

NPI assigned

Jun 30, 2014

Last updated

Jun 30, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Blue Moon Optical

  • Optician
  • San Marcos, TX
  • NPI 1174940464
  Authorized official Same address or phone

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1952716870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W SAN ANTONIO ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665551",
            "telephone_number": "512-982-9242",
            "fax_number": "512-879-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W SAN ANTONIO ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665551",
            "telephone_number": "512-982-9242",
            "fax_number": "512-879-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "189067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John King Drisdale III, DMD
• Jennifer Marshall Driskell, MD
• Lindsey Drozd
• Allison Nicole Dryer, PHARM.D.
• Adam Dueber, LPC-S
• James Dufner, PT, DPT
• Rockie Lane Dugger, CRNA
• Christopher Duiker, RN
• Stasia Dunlap, LPC-ASSOCIATE
• Meghan Elissa Dupre, M.D.

• Optician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.