Active NPI
Daniel Neal Edwards, O.D.
- Optometrist
- Longview, TX
National Provider Identifier
1003927476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2601TG
- Practice address
- 1000 N 4TH St
Longview, TX 75601-4737 - Phone
- (903) 236-7474
- Fax
- (903) 236-7484
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2601TG | TX | Primary |
Addresses
Primary practice location
1000 N 4TH St
Longview, TX 75601-4737
Mailing address
1000 N 4TH St
Longview, TX 75601-4737
Phone (903) 236-7474
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003927476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014737",
"telephone_number": "903-236-7474",
"fax_number": "903-236-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014737",
"telephone_number": "903-236-7474",
"fax_number": "903-236-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DANIEL",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2601TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
- Carlita Eddington, LMT
- Edu-Dula, Inc. (The Pediatric Rehab Center)
- Educare Community Living Corporation - Texas
- Educare Community Living Corporation - Texas
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Gregory Ashton Edwards, M.D.
- Jessica Edwards
- Bradley Efune, M.D.
- Eh Home Health of East Texas, LLC (Enhabit Home Health)
- Udeme Ekpenyong, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.