Daniel Poth, O.D. and Associates, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DANIEL POTH, O.D. AND ASSOCIATES, P.C.

Doing business as

Visionworks Doctors of Optometry

Practice address

8424 Old Keene Mill Road
Springfield, VA 22152

Phone

(703) 569-6611

Fax

(703) 569-6618

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dan Poth, O.D.

Title

Owner

Phone

(703) 288-1978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionworks Doctors of Optometry Doing business as

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1003998501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842375",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 OLD KEENE MILL ROAD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-569-6611",
            "fax_number": "703-569-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-288-1978",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna D'Alessio, OTR
• Andrew Dahik
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• Lynn A Daltner, M.D.
• Nhat Huy Vo Dang, ATC
• Daniel Poth, OD and Associates, PC
• Amy Beth Daniels, RDN
• Jennifer Bagdady Dao, M.D.
• Rizwan Qadir Dar, M.D.,
• Dara Healthcare Services LLC

• Eyewear Supplier in Springfield, VA
• Providers in Springfield, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.