Dr. Daniel Desrivieres Odpc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DR. DANIEL DESRIVIERES ODPC

Practice address

32 N Day St
Orange, NJ 07050-3609

Phone

(973) 676-8113

Fax

(973) 672-1937

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Desrivieres, ODNPI 1619041506

Title

Owner

Phone

(201) 306-8258

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Daniel Desrivieres, O.D.

  • Optometrist
  • Orange, NJ
  • NPI 1619041506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1295058915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N DAY ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503609",
            "telephone_number": "973-676-8113",
            "fax_number": "973-672-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N DAY ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503609",
            "telephone_number": "973-676-8113",
            "fax_number": "973-672-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANIEL DESRIVIERES ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "DESRIVIERES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-306-8258",
        "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": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther David
• Justein Davis
• DCH Consulting Services, LLC
• Brennan L Deckard
• Daniel Desrivieres, O.D.
• Joseph J Drucker, LCSW
• Ijeoma Marcia Duru- Akabogu
• Sherline Duvalsaint
• Echoes Inc
• Chevelle Edwards

• Eyewear Supplier in Orange, NJ
• Providers in Orange, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.