Darryl Glen Joseph, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3971 Issued in FL

Practice address

844 S Federal Hwy
Deerfield Beach, FL 33441-5752

Phone

(561) 614-8267

Fax

(954) 421-7278

NPI assigned

Dec 20, 2011

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• D Glen Joseph PLLC

  • Optometrist
  • Pembroke Pines, FL
  • NPI 1851798078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1033488085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21533 HALSTEAD DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284844",
            "telephone_number": "561-451-9914",
            "fax_number": "561-451-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415752",
            "telephone_number": "561-614-8267",
            "fax_number": "954-421-7278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21533 Halstead Dr",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334284844",
            "country_code": "US",
            "telephone_number": "561-451-9914",
            "fax_number": "561-451-9914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DARRYL",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016692700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Josaphat
• Joel Austin Jose
• Joseph J Arena MD PA
• Tara Dinka Joseph-Blanc, ARNP
• Cloann Joseph
• Freda Joseph
• Hans Joseph
• Iserene Joseph
• Jennifer Joseph, PTA
• Joanna Joseph

• Optometrist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.