John Gordon McDaniel, O.D., M.L.H.R.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2702 Issued in CO

Practice address

12311 Pine Bluffs Way # 108
Parker, CO 80134-4339

Phone

(303) 805-7300

Fax

(888) 317-1023

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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 CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ascent Inc

  • Clinic/Center
  • Parker, CO
  • NPI 1104287374
  Medicare reassignment Authorized official
• John G McDaniel, OD LLC

  • Optometrist
  • Highlands Ranch, CO
  • NPI 1093900177
  NPD (past) Authorized official

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1073580445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 PINE BLUFFS WAY # 108",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344339",
            "telephone_number": "303-805-7300",
            "fax_number": "888-317-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PINE BLUFFS WAY # 108",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344339",
            "telephone_number": "303-805-7300",
            "fax_number": "888-317-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "O.D., M.L.H.R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38646700",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McCracken, M.D.
• Tanya McCrea, LSW
• McCrum Counseling Center of Colorado
• Rachel Cline McCrum, CSW.09931586
• Elizabeth Anne McDaniel
• Nancy J McDermott, M.D.
• Margaret Marie McDowall, PT
• Jessica Ann Jones McElroy, PT, DPT
• Elizabeth Katherine McEwen, LPCC
• Rachel Renee McFarland, PT, DPT, ATC

• Optometrist in Parker, CO
• Providers in Parker, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.