Individual provider Active NPI

Lincoln Joseph Daynes, O.D.

  • Optometrist
  • Sierra Vista, AZ
National Provider Identifier
1003827015
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
592 Issued in AZ
Practice address
400 W Fry Blvd
Ste. 9
Sierra Vista, AZ 85635-1758
Phone
(520) 459-1650
Fax
(520) 459-6202
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 592 AZ Primary

Addresses

Primary practice location

400 W Fry Blvd
Ste. 9
Sierra Vista, AZ 85635-1758

Mailing address

400 W Fry Blvd
Ste. 9
Sierra Vista, AZ 85635-1758
Phone (520) 459-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000657 AZ Practitioner - Optometry 9133146137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Havasu Family Eyecare LLCGroup PAC ID 0749220051, 10 clinicians

Practice addresses (Care Compare)

2277 Swanson Ave
Suite 100
Lake Havasu City, AZ 86403-6141
Phone (928) 855-5026

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
65.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
592AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Havasu Family Eyecare, LLC Optometrist CurrentSince Jun 18, 2023 Accepting new patients

Locations

2277 Swanson Ave
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 706-9991

400 W Fry Blvd
Ste 9
Sierra Vista, AZ 85635
Phone (520) 459-1650

Networks

  • NM HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1003827015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD",
            "address_2": "STE. 9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351758",
            "telephone_number": "520-459-1650",
            "fax_number": "520-459-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD",
            "address_2": "STE. 9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351758",
            "telephone_number": "520-459-1650",
            "fax_number": "520-459-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYNES",
        "first_name": "LINCOLN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.