NPIMap

Organization Active NPI

Dr. Kenneth O'Daniel & Assoc., PC

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1013043389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ 0694 Issued in AZ
Legal business name
DR. KENNETH O'DANIEL & ASSOC., PC
Practice address
7014 E Camelback Rd
Suite 2140
Scottsdale, AZ 85251-1227
Phone
(480) 945-9971
Fax
(480) 990-1100
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth William O'Daniel, O.D.
Title
President
Phone
(480) 945-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ 0694 AZ Primary

Addresses

Primary practice location

7014 E Camelback Rd
Suite 2140
Scottsdale, AZ 85251-1227

Mailing address

7014 E Camelback Rd
Suite 2140
Scottsdale, AZ 85251-1227
Phone (480) 945-9971

National Provider Directory

National Provider Directory

Locations

4350 E Camelback Rd
Ste B120
Phoenix, AZ 85018
Phone (602) 279-5855

7014 E Camelback Rd
Ste 2140
Scottsdale, AZ 85251
Phone (480) 945-9971

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013043389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 E CAMELBACK RD",
            "address_2": "SUITE 2140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511227",
            "telephone_number": "480-945-9971",
            "fax_number": "480-990-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 E CAMELBACK RD",
            "address_2": "SUITE 2140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511227",
            "telephone_number": "480-945-9971",
            "fax_number": "480-990-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNETH O'DANIEL & ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'DANIEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-945-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ 0694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.