Individual provider Active NPI

Daniel Paul Clousing, O.D.

  • Optometrist
  • Elizabeth, CO
National Provider Identifier
1225299407
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-2654 Issued in CO
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022002068 IA Practitioner - Optometry 2264591668 Reassigns benefits to 2 organizations

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
Paul W Beaver OD PCGroup PAC ID 8820179369, 4 clinicians

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

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-2654COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Sioux Community Health Center Inc. CurrentSince Mar 1, 2016 Accepting new patients
Paul W Beaver OD PC Optometrist CurrentSince Sep 1, 2013 Accepting new patients
Hawarden Family Eye Care PLLC Optometrist CurrentSince Aug 8, 2021 Accepting new patients
Greater Sioux Community Health Center Inc. CurrentSince Mar 1, 2016 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.