Bryan McDaniel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4839 Issued in TX

Practice address

1030 E Hwy 377 Ste 106
Granbury, TX 76048-1457

Phone

(817) 578-8484

Fax

(817) 579-1329

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Med Southwest, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment Care Compare group NPD
• Med Southwest PLLC

  • Optometrist
  • Beaumont, TX
  • NPI 1558900373
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Hurst, TX
  • NPI 1366066466
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Longview, TX
  • NPI 1487290441
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • San Marcos, TX
  • NPI 1730714114
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Texarkana, TX
  • NPI 1871059170
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Bryan, TX
  • NPI 1871132761
  Care Compare group
• Med Southwest PLLC

  • Optometrist
  • El Dorado, AR
  • NPI 1124588405
  Care Compare group
• Med Southwest PLLC

  • Optometrist
  • Idabel, OK
  • NPI 1336605633
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Magnolia, AR
  • NPI 1093271397
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Tulsa, OK
  • NPI 1124798160
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Broken Bow, OK
  • NPI 1174089478
  Care Compare group

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1043387277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E HWY 377 STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481457",
            "telephone_number": "817-578-8484",
            "fax_number": "817-579-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BRYAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "04839T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Romo Mayo, LVN
• Haley McCabe, SLPA
• Terry McCarty, MA, MS, LPC
• Kyle Patton McCombs, MD
• Michael Alan McCoy, DDS
• Lisa McDermott, MS, RDN, LD
• Katrina L McFadden, DDS
• Erica Michele McGregor, DC
• Melissa R McHaney, RDA
• Michael McIntyre

• All providers in Granbury, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.