Individual provider Active NPI

Daniel John Uzl, O.D.

  • Optometrist
  • Independence, OH
National Provider Identifier
1275684557
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5161 Issued in OH
Practice address
6901 Rockside Rd
Suite 200
Independence, OH 44131-2379
Phone
(216) 525-0740
Fax
(216) 525-0750
NPI assigned
Jan 15, 2007
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5161 OH Primary

Addresses

Primary practice location

6901 Rockside Rd
Suite 200
Independence, OH 44131-2379

Mailing address

6901 Rockside Rd
Performance Vision Care
Independence, OH 44131-2348
Phone (216) 525-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040910000004 OH Practitioner - Optometry 9234105859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Vision Care IncGroup PAC ID 3870569494, 4 clinicians

Practice addresses (Care Compare)

5005 Milan Rd
Sandusky, OH 44870-5845
Phone (419) 625-7904

6901 Rockside Rd
Suite 21
Independence, OH 44131-2379
Phone (216) 525-0740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5161OHMDSpeech-Language Pathologist

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1275684557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 ROCKSIDE RD",
            "address_2": "PERFORMANCE VISION CARE",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312348",
            "telephone_number": "216-525-0740",
            "fax_number": "216-525-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 ROCKSIDE RD",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312379",
            "telephone_number": "216-525-0740",
            "fax_number": "216-525-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZL",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.