Active NPI
William Rohl Daniel, O.D.
- Optometrist
- Chinle, AZ
National Provider Identifier
1174529978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5299 T2208
- Practice address
- Chinle Hospital Eye Clinic
PO Drawer PH
Chinle, AZ 86503 - Phone
- (928) 674-7160
- NPI assigned
- Jun 27, 2005
- Last updated
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100042 | ID | |
| Optometrist | 152W00000X | 5299 T2208 | OH | Primary |
Addresses
Primary practice location
Chinle Hospital Eye Clinic
PO Drawer PH
Chinle, AZ 86503
Mailing address
1260 Monroe Ave
Suite 1a
New Philadelphia, OH 44663
Phone (330) 602-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100042 | ID | MD | Optometrist |
| 5299 T2208 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1174529978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MONROE AVE",
"address_2": "SUITE 1A",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "44663",
"telephone_number": "330-602-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHINLE HOSPITAL EYE CLINIC",
"address_2": "PO DRAWER PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "WILLIAM",
"middle_name": "ROHL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100042",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5299 T2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.