Active NPI
Daniel L Meffley, O.D.
- Optometrist
- Defiance, OH
National Provider Identifier
1215905294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3322
- Practice address
- 800 N Clinton St
Suite
Defiance, OH 43512-4611 - Phone
- (419) 782-9082
- Fax
- (419) 782-2200
- NPI assigned
- Mar 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3322 | OH | Primary |
Addresses
Primary practice location
800 N Clinton St
Suite
Defiance, OH 43512-4611
Mailing address
800 N Clinton St
Suite
Defiance, OH 43512-4611
Phone (419) 782-9082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255443792 | Other | OH | GROUP NPI |
| 0352505 | Medicaid | OH |
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 |
|---|---|---|---|
| 3322 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1215905294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N CLINTON ST",
"address_2": "SUITE",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435124611",
"telephone_number": "419-782-9082",
"fax_number": "419-782-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N CLINTON ST",
"address_2": "SUITE",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435124611",
"telephone_number": "419-782-9082",
"fax_number": "419-782-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEFFLEY",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1255443792",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352505",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Defiance, OH
- Roger L McKelvey
- Kirk David McKibben, D.D.S.
- Shannon McNeal, CDCA
- Sharae C McZahn
- Medical Service Company
- Meijer Stores Limited Partnership
- Melchor L. Mercado M.D. a Professional Corporation
- Mercy Health - Defiance Hospital LLC
- Mercy Medical Partners Northern Region LLC
- Mercy Medical Partners Northern Region LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.