DAVID E. DURYEA, O.D., P.C. (NPI# 1053380865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053380865 |
| Entity Type | Organization |
| Organization Name | DAVID E. DURYEA, O.D., P.C. |
| Other Organization Name | ADVANCED EYECARE & CONTACT LENS CENTER |
| Practice Address |
123 S Saginaw St Saint Charles MI 48655-1403 |
| Practice Telephone | 9898659979 |
| Practice Fax Number | 9898656686 |
| Mailing Telephone | 9898659979 |
| Mailing Fax Number | 9898656686 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | DR. DAVID ERIC DURYEA (PRESIDENT) |
| Authorized Official Telephone | 9898659979 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002587 | MI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Advanced Eyecare & Contact Lens Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386612521 | David E. Duryea, O.d., P.C. | Optometrist | 123 S Shiawassee St, Owosso, MI 48867-2744 | 2006-03-14 |
| 1285603092 | David E. Duryea, O.d., P.C. | Optometrist | 1555 Brady Road, Chesaning, MI 48616-0355 | 2006-03-15 |
| Street Address |
123 S SAGINAW ST |
| City | SAINT CHARLES |
| State | MI |
| Zip Code | 48655-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669837993 | St. Charles Family Clinic Pllc | Family Medicine | 611 W Belle Avenue, Saint Charles, MI 48655 | 2015-12-31 |
| 1023412889 | Rachel Wells | Licensed Practical Nurse | 223 W Belle Ave, St. Charles, MI 48655 | 2014-10-22 |
| 1194140962 | Dcs Management | Assisted Living Facility | 302 Fulton Street, Saint Charles, MI 48655 | 2014-03-03 |
| 1245297415 | St Charles Pharmacy LLC | Pharmacy | 1008 N Saginaw St, St. Charles, MI 48655 | 2006-04-29 |
| 1912391418 | Pat Bashans | Registered Nurse | 10797 Carr Road, Saint Charles, MI 48655-0105 | 2015-03-23 |
| 1841274909 | Ronald Gonzales Jr. | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2005-12-02 |
| 1154368439 | Ronald L Gonzales Md Pllc | Family Medicine | 1124 N Saginaw St, Saint Charles, MI 48655-1021 | 2006-06-02 |
| 1710432836 | Carrie Wilson | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2016-08-18 |
| 1154388320 | Laura Snellenberger | Pharmacist | 1008 N Saginaw St, Saint Charles, MI 48655-1022 | 2006-04-29 |
| 1134512262 | Tricia Douglas | Specialist/Technologist | 881 W Walnut St, Saint Charles, MI 48655-1257 | 2015-03-13 |
| Find all providers in zip 48655 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417365123 | Tyler Doersam | Optometrist | 118 Lakeside Dr, Apt 434, Saint Charles, IL 60174-7905 | 2014-07-25 |
| 1073755880 | Clarkson Optometry Inc | Optometrist | 2121 Zumbehl Rd, Saint Charles, MO 63303-2724 | 2009-03-26 |
| 1689750291 | Jerome Lawrence Becker | Optometrist | 1384 S 5th St, Saint Charles, MO 63301-2444 | 2006-10-27 |
| 1750340741 | Charles M. Lutz | Optometrist | 1944 Zumbehl Rd, Saint Charles, MO 63303-2721 | 2006-03-20 |
| 1295715852 | Michael E Weigle | Optometrist | 2127 Bluestone Dr, Suite 201, Saint Charles, MO 63303-6709 | 2006-01-19 |
| 1750387452 | Alan S Kwiatek | Optometrist | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2005-06-27 |
| 1538768007 | Katlyn Rene Peterson | Optometrist | 3881 Mexico Rd, Saint Charles, MO 63303-3042 | 2020-10-25 |
| 1275150757 | Maggie Ellen Pohlmeier | Optometrist | 1301 N 2nd St, Saint Charles, MO 63301-2105 | 2020-06-30 |
| 1144702275 | Kerianne Phillips Sayre | Optometrist | 2897 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2018-09-05 |
| 1720572001 | Stephen Mccullough | Optometrist | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2018-06-19 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 48655 |
Please comment or provide details below to improve the information on DAVID E. DURYEA, O.D., P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.