Active NPI
Daniel Richard Eckermann, O.D.
- Optometrist
- Salem, VA
National Provider Identifier
1285698753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000624
- Practice address
- 1970 Roanoke Blvd
Salem, VA 24153-6404 - Phone
- (540) 982-2463
- Fax
- (540) 224-1922
- NPI assigned
- Apr 13, 2006
- Last updated
- Aug 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000624 | VA | Primary |
| Optometrist | 152W00000X | OD0000002358 | TN |
Addresses
Primary practice location
1970 Roanoke Blvd
Salem, VA 24153-6404
Mailing address
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000002358 | TN | MD | Optometrist |
| 0618000624 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1285698753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463",
"fax_number": "540-224-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463",
"fax_number": "540-224-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERMANN",
"first_name": "DANIEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000624",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000002358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
- Alfred Ainsley Durham, M.D.
- Brian S Early, PHARMD
- Easter Seals Ucp North Carolina & Virgiinia, Inc.
- Easter Seals Ucp North Carolina & Virginia
- Cherron Celeste Eaton
- Carole Collins Edwards, CRNA
- Emily Edwards, AGACNP
- Emily Michelle Joyce Edwards, M.S. SLP-CF
- Angela Meade Eggleston, PH.D.
- Tabitha Jones Eitner, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.