Adam C. Dayley, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100032 Issued in ID

Legal business name

ADAM C. DAYLEY, O.D., P.C.

Practice address

906 Michigan Ave.
Orofino, ID 83544

Phone

(208) 476-3815

Fax

(208) 476-3815

NPI assigned

Jan 17, 2007

Organization subpart

Yes

Parent organization

ADAM C. DAYLEY, O.D., P.C.As reported in NPPES

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

Authorized official

Name

Dr. Adam C Dayley, ODNPI 1538144928

Title

Optometrist

Phone

(208) 476-3815

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Clinic of Orofino Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adam C. Dayley, O.D., P.C.

  • Optometrist
  • Kamiah, ID
  • NPI 1942352380

  O20081218000763

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Adam C Dayley OD PC

Locations

Practitioners 1

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

• Adam C Dayley, O.D.

  • Optometrist
  • Orofino, ID
  • NPI 1538144928

  ID, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1083766356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835441269",
            "telephone_number": "208-476-3815",
            "fax_number": "208-476-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MICHIGAN AVE.",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "83544",
            "telephone_number": "208-476-3815",
            "fax_number": "208-476-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM C. DAYLEY, O.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAM C. DAYLEY, O.D., P.C.",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "DAYLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-476-3815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806634300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic of Orofino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Orofino, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.