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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.