Organization Active NPI

John G McDaniel, OD LLC

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1093900177
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2702 Issued in CO
Legal business name
JOHN G MCDANIEL, OD LLC
Practice address
9777 Wimbledon CT
Highlands Ranch, CO 80126-3051
Phone
(262) 751-2834
Fax
(888) 317-1023
NPI assigned
Sep 11, 2007
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. John Gordon McDaniel, O.D., M.L.H.R.NPI 1073580445
Title
Owner
Phone
(262) 751-2834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2702 CO Primary

Addresses

Primary practice location

9777 Wimbledon CT
Highlands Ranch, CO 80126-3051

Mailing address

9777 Wimbledon CT
Highlands Ranch, CO 80126-3051
Phone (262) 751-2834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1093900177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WIMBLEDON CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801263051",
            "telephone_number": "262-751-2834",
            "fax_number": "888-317-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WIMBLEDON CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801263051",
            "telephone_number": "262-751-2834",
            "fax_number": "888-317-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G MCDANIEL, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-751-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.L.H.R."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.