Active NPI
Daniel W Newberry, OD
- Optometrist
- Paducah, KY
National Provider Identifier
1295814564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1056DT
- Practice address
- 60 Lakeview Dr
Paducah, KY 42001 - Phone
- (270) 554-2000
- Fax
- (270) 554-2989
- NPI assigned
- Nov 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1056DT | KY | Primary |
Addresses
Primary practice location
60 Lakeview Dr
Paducah, KY 42001
Mailing address
60 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-2000
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
Interoperability endpoints
- danielnewberry@direct.eyecare-partners.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1295814564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LAKEVIEW DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-554-2000",
"fax_number": "270-554-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 LAKEVIEW DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-554-2000",
"fax_number": "270-554-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "DANIEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1056DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.