Active NPI
Daniel P. Roy, O.D.
- Optometrist
- Sanford, ME
National Provider Identifier
1013059096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT633
- Practice address
- 1110 Main St
Sanford, ME 04073-3612 - Phone
- (207) 324-6281
- Fax
- (207) 324-7143
- NPI assigned
- Feb 13, 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 | OPT633 | ME | Primary |
Addresses
Primary practice location
1110 Main St
Sanford, ME 04073-3612
Mailing address
1110 Main St
Sanford, ME 04073-3612
Phone (207) 324-6281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114270000 | Medicaid | ME |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1013059096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 MAIN ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733612",
"telephone_number": "207-324-6281",
"fax_number": "207-324-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MAIN ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733612",
"telephone_number": "207-324-6281",
"fax_number": "207-324-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "DANIEL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114270000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.