Active NPI
Errol Raymond Congleton, O.D.
- Optometrist
- Midland, MI
National Provider Identifier
1962547299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002565
- Practice address
- 509 S Saginaw Rd
Midland, MI 48640-4516 - Phone
- (989) 835-2020
- Fax
- (989) 835-6192
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 4901002565 | MI | Primary |
Addresses
Primary practice location
509 S Saginaw Rd
Midland, MI 48640-4516
Mailing address
509 S Saginaw Rd
Midland, MI 48640-4516
Phone (989) 835-2020
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Quest Optical, LLC | Optometrist | 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 and National Provider Directory roles.
-
- Optometrist
- Bay City, MI
- NPI 1588125710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1962547299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404516",
"telephone_number": "989-835-2020",
"fax_number": "989-835-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404516",
"telephone_number": "989-835-2020",
"fax_number": "989-835-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGLETON",
"first_name": "ERROL",
"middle_name": "RAYMOND",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.