Organization Active NPI

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

  • Eyewear Supplier
  • Fairfax, VA
National Provider Identifier
1093459182
Registry record updated Apr 25, 2022
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.
Practice address
9510 Main St
Fairfax, VA 22031-4031
Phone
(726) 444-4172
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dolsie McDonald
Title
Network Management Manager
Phone
(726) 444-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9510 Main St
Fairfax, VA 22031-4031

Mailing address

175 E Houston St
San Antonio, TX 78205-2299
Phone (726) 444-4172

National Provider Directory

National Provider Directory

Locations

7702 Richmond Hwy
Ste H
Alexandria, VA 22306
Phone (703) 717-0737

3556A S Jefferson St
Ste 510
Baileys Crossroads, VA 22041
Phone (703) 379-1100

3556A S Jefferson St
Falls Church, VA 22041
Phone (703) 379-1100

12950 Highland Crossing Dr
Ste A
Herndon, VA 20171
Phone (703) 569-6611

11130L South Lakes Dr
Ste 515
Reston, VA 20191
Phone (703) 476-0077

1841 Fountain Dr
Ste 516
Reston, VA 20190
Phone (703) 471-1012

11130 South Lakes Dr
Reston, VA 20191
Phone (703) 476-0077

6535 Springfield Mall
Spc 11045
Springfield, VA 22150
Phone (703) 971-4739

8424 Old Keene Mill Rd
Ste 517
Springfield, VA 22152
Phone (703) 569-6611

6636 Springfield Mall
Ste 518
Springfield, VA 22150
Phone (703) 922-4111

8359 Leesburg Pike
Ste 519
Vienna, VA 22182
Phone (703) 442-9295

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1093459182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052299",
            "telephone_number": "726-444-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314031",
            "telephone_number": "726-444-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "NETWORK MANAGEMENT MANAGER",
        "authorized_official_telephone_number": "726-444-4178"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.