Active NPI
Daniel Louis Hallforth, O.D.
- Optometrist
- Florence, KY
National Provider Identifier
1265585012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 921 DT
- Practice address
- 7840 Connector Dr
Florence, KY 41042-1435 - Phone
- (859) 283-5055
- Fax
- (859) 371-6677
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 921 DT | KY | Primary |
Addresses
Primary practice location
7840 Connector Dr
Florence, KY 41042-1435
Mailing address
7840 Connector Dr
Florence, KY 41042-1435
Phone (859) 283-5055
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 |
|---|---|---|---|
| 921 DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyewear LTD Optical Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Florence, KY
- NPI 1033319306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265585012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 CONNECTOR DR",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421435",
"telephone_number": "859-283-5055",
"fax_number": "859-371-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 CONNECTOR DR",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421435",
"telephone_number": "859-283-5055",
"fax_number": "859-371-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLFORTH",
"first_name": "DANIEL",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "921 DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.