Active NPI
Daniel Paul Clousing, O.D.
- Optometrist
- Elizabeth, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-2654
- Practice address
- 210 Elizabeth St
Suite 'B'
Elizabeth, CO 80107-7538 - Phone
- (303) 646-8888
- Fax
- (303) 646-8880
- NPI assigned
- Jun 20, 2008
- Last updated
- Mar 13, 2009
- 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 | OPT-2654 | CO | Primary |
Addresses
Primary practice location
210 Elizabeth St
Suite 'B'
Elizabeth, CO 80107-7538
Mailing address
18488 Keyser Creek Ave
Parker, CO 80134-7670
Phone (616) 446-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 S Main Ave
Sioux Center, IA 51250-1535
Phone (712) 722-1270
33 4TH St NW
Sioux Center, IA 51250-1870
Phone (712) 722-1700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-2654 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Sioux Community Health Center Inc. | Current | Accepting new patients | |
| Paul W Beaver OD PC | Optometrist | Current | Accepting new patients |
| Hawarden Family Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Greater Sioux Community Health Center Inc. | Current | Accepting new patients |
Locations
105 S Main Ave
Sioux Center, IA 51250
Phone (712) 722-1270
33 4th St NW
Sioux Center, IA 51250
Phone (712) 722-1700
Interoperability endpoints
- daniel.clousing.1@20239.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Promise Community Health Center
- Federally Qualified Health Center (FQHC)
- Sioux Center, IA
- NPI 1053582098
-
- Optometrist
- Sioux Center, IA
- NPI 1528043494
-
dba Promise CHC Sioux Center Intermediate School
- Federally Qualified Health Center (FQHC)
- Sioux Center, IA
- NPI 1972398444
-
- Optometrist
- Hawarden, IA
- NPI 1801560545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1225299407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18488 KEYSER CREEK AVE",
"city": "PARKER",
"state": "CO",
"postal_code": "801347670",
"telephone_number": "616-446-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ELIZABETH ST",
"address_2": "SUITE 'B'",
"city": "ELIZABETH",
"state": "CO",
"postal_code": "801077538",
"telephone_number": "303-646-8888",
"fax_number": "303-646-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSING",
"first_name": "DANIEL",
"middle_name": "PAUL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT-2654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, CO
- Centennial Mental Health Center, Inc.
- Center for Valued Living PLLC
- Trevor Christner
- Ann Ree Chumbley, DC
- Scherry Clark, M.ED., LPC
- Colorado Christian Health
- Comfortable Living Residential Services LLC
- Christine Cornelius, MS. RDN
- Cottonwood Community Alternatives Inc (Cottonwood Community Alt)
- Pamela Renee Craig, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.