Healthcare Provider Details

I. General information

NPI: 1356404487
Provider Name (Legal Business Name): GREGORY DUANE DOTSON O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

IV. Provider business mailing address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-2600
  • Fax:
Mailing address:
  • Phone: 269-966-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number4901003568
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: