Active NPI
David Nadeau, O.D.
- Optometrist
- Eugene, OR
National Provider Identifier
1982000808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4488
- Practice address
- 1200 Hilyard St Ste 110
Eugene, OR 97401-8112 - Phone
- (458) 205-6257
- Fax
- (458) 205-6255
- NPI assigned
- Nov 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0898 | NH | |
| Optometrist | 152W00000X | 4488 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St Ste 110
Eugene, OR 97401-8112
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253
Other practice location 1
215 N Main St
Eye Clinic Desk 100 (112)
White River Junction, VT 05009-0001
Phone (207) 577-3316
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
Interoperability endpoints
- dnadeau428079@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1982000808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1253",
"fax_number": "360-729-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST STE 110",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018112",
"telephone_number": "458-205-6257",
"fax_number": "458-205-6255"
}
],
"practiceLocations": [
{
"address_1": "215 N Main St",
"address_2": "Eye Clinic Desk 100 (112)",
"address_purpose": "LOCATION",
"city": "White River Junction",
"state": "VT",
"postal_code": "050090001",
"country_code": "US",
"telephone_number": "207-577-3316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADEAU",
"first_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-05",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0898",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "4488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.