Organization Active NPI

Daniel Poth, O.D. and Associates, P.C.

Doing business as Visionworks Doctors of Optometry

  • Eyewear Supplier
  • Leesburg, VA
National Provider Identifier
1083915110
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DANIEL POTH, O.D. AND ASSOCIATES, P.C.
Doing business as
Visionworks Doctors of Optometry
Practice address
1607 Village Market Blvd SE
Suite 124
Leesburg, VA 20175-4667
Phone
(703) 443-1379
Fax
(703) 443-1685
NPI assigned
Nov 5, 2010
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Daniel Poth, O.D.
Title
Owner
Phone
(210) 524-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1607 Village Market Blvd SE
Suite 124
Leesburg, VA 20175-4667

Mailing address

PO Box 842375
Dallas, TX 75284-2375
Phone (210) 524-6803

Other names 1

  • Visionworks Doctors of Optometry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1083915110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842375",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 VILLAGE MARKET BLVD SE",
            "address_2": "SUITE 124",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754667",
            "telephone_number": "703-443-1379",
            "fax_number": "703-443-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-524-6803",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.