Organization Active NPI

Daniel M. Durante, Odpa

  • Optometrist
  • Jensen Beach, FL
National Provider Identifier
1952718728
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001529 Issued in FL
Legal business name
DANIEL M. DURANTE, ODPA
Practice address
3468 NW Federal Hwy
Jensen Beach, FL 34957-4440
Phone
(772) 692-2020
Fax
(772) 692-2844
NPI assigned
Jul 14, 2014
Last updated
Jul 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Daniel Michael Durante, ODNPI 1407881337
Title
President
Phone
(772) 692-2020

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 OPC001529 FL Primary

Addresses

Primary practice location

3468 NW Federal Hwy
Jensen Beach, FL 34957-4440

Mailing address

3468 NW Federal Hwy
Jensen Beach, FL 34957-4440
Phone (772) 692-2020

Other identifiers 2

IdentifierTypeStateIssuer
1164638140MedicaidFL
1407881337OtherNPI 1

National Provider Directory

National Provider Directory
Tax ID family
Daniel M Durante OD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3468 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-2020

954 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 323-0960

Practitioners & affiliated clinicians

Practitioners 1

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": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1952718728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574440",
            "telephone_number": "772-692-2020",
            "fax_number": "772-692-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574440",
            "telephone_number": "772-692-2020",
            "fax_number": "772-692-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M. DURANTE, ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-692-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164638140",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1407881337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.