Organization Active NPI

Daniel S Winter, OD, PC

  • Optometrist
  • Dawsonville, GA
National Provider Identifier
1235590902
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANIEL S WINTER, OD, PC
Practice address
156 Power Center Dr
Dawsonville, GA 30534-9416
Phone
(706) 265-2368
Fax
(706) 265-2377
NPI assigned
Mar 9, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Daniel Scott Winter, ODNPI 1083632640
Title
Owner
Phone
(706) 265-2368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160617001046 GA Part B Supplier - Clinic/Group Practice 1850682022 Receives reassigned benefits from 1 practitioner
Practice locations: Dawsonville, GA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

156 Power Center Dr
Dawsonville, GA 30534-9416

Mailing address

156 Power Center Dr
Dawsonville, GA 30534-9416
Phone (706) 265-2368

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2016.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1235590902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 POWER CENTER DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305349416",
            "telephone_number": "706-265-2368",
            "fax_number": "706-265-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 POWER CENTER DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305349416",
            "telephone_number": "706-265-2368",
            "fax_number": "706-265-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S WINTER, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-265-2368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.