DR. MICHAEL ANDREW DURANT (NPI# 1629029400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629029400 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANDREW DURANT |
| Credential | O.D. |
| Practice Address |
116 Mini Mall Dr Berea KY 40403-1170 |
| Practice Telephone | 8599850078 |
| Practice Fax Number | 8599850045 |
| Mailing Telephone | 8599850078 |
| Mailing Fax Number | 8599850045 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1345DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TAX ID # | 611344538 | 01 |
| KY | PALMETTO | 1267150001 | 01 |
| KY | 77903276 | 05 | |
| KY | BCBS GROUP # | 000000064776 | 01 |
| KY | 77013456 | 05 | |
| KY | BCBS | 000000064780 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902952757 | Michael Charles Durant | Chiropractor | 1435 Dunn Ave, Daytona Beach, FL 32114-1437 | 2007-01-26 |
| 1740675537 | Michael S. Durant | Counselor | 219 W Patrick St, Suite A, Frederick, MD 21701-6933 | 2015-03-30 |
| 1225116098 | Michael W. Durant | Pediatrics | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Street Address |
116 MINI MALL DR |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003136466 | M Andrew Durant Od Pllc | Optometrist | 116 Mini Mall Dr, Berea, KY 40403-1170 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1437315488 | Caitlin Filips | Optometrist | 487 W Bagley Rd, Berea, OH 44017-1326 | 2008-07-30 |
| 1255460838 | Dr. Eric's Total Vision Care | Optometrist | 431 W Bagley Rd, Berea, OH 44017-1351 | 2007-03-02 |
| 1336229715 | Gary E King | Optometrist | 854 Ridgewood Dr., Berea, KY 40403-9814 | 2006-10-17 |
| 1568483972 | Mary C. Gerhart | Optometrist | 343 W Bagley Rd, Berea, OH 44017-1370 | 2006-07-21 |
| 1609815844 | Terry E Daniel | Optometrist | 295 High St, Berea, OH 44017-1833 | 2006-06-05 |
| 1205287521 | Dr Caitlin S Filips | Optometrist | 487 W Bagley Rd, Berea, OH 44017-1326 | 2016-06-28 |
| 1447505532 | Sarah Kaitlin King | Optometrist | 854 Ridgewood Dr., Berea, KY 40403-9814 | 2012-07-16 |
| 1003136466 | M Andrew Durant Od Pllc | Optometrist | 116 Mini Mall Dr, Berea, KY 40403-1170 | 2010-06-08 |
| 1578761136 | Jason B. Howard, O.d. L.L.C. | Optometrist | 120 Jill Dr, Berea, KY 40403-1677 | 2007-07-05 |
| Find all providers in BEREA | ||||
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| 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.