NPIMap

Organization Active NPI

Daniel D David

Doing business as Family Eye Clinic

  • Optometrist
  • Pullman, WA
National Provider Identifier
1174826002
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001643 Issued in WA
Legal business name
DANIEL D DAVID
Doing business as
Family Eye Clinic
Practice address
560 SE Bishop Blvd
Pullman, WA 99163-5505
Phone
(509) 334-3300
Fax
(509) 334-7591
NPI assigned
Dec 15, 2010
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Daniel D David, O.D.NPI 1740275569
Title
Owner
Phone
(509) 334-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00001643 WA Primary

Addresses

Primary practice location

560 SE Bishop Blvd
Pullman, WA 99163-5505

Mailing address

560 SE Bishop Blvd
Pullman, WA 99163-5505
Phone (509) 334-3300

Other identifiers 7

IdentifierTypeStateIssuer
000096751OtherWALABOR & INDUSTRIES
3506831OtherWACIGNA
00010015358OtherWAASURIS NORTHWEST HEALTH PLAN
000301793OtherWAMEDICARE ID-TYPE UNSPECIFIED
2005718MedicaidWA
000503341OtherWAAETNA
DAVDN5371457713OtherWAPREMERA BLUE CROSS

Other names 1

  • Family Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

560 SE Bishop Blvd
Pullman, WA 99163
Phone (208) 882-3434

Practitioners & affiliated clinicians

Practitioners 4

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1174826002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635505",
            "telephone_number": "509-334-3300",
            "fax_number": "509-334-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635505",
            "telephone_number": "509-334-3300",
            "fax_number": "509-334-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D DAVID",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-334-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "000096751",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3506831",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NORTHWEST HEALTH PLAN",
            "identifier": "00010015358",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "000301793",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005718",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "000503341",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "DAVDN5371457713",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.