Daniel Poth, OD and Associates, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DANIEL POTH, OD AND ASSOCIATES, PC

Doing business as

Visionworks Doctors of Optometry

Practice address

6535 Springfield Mall
Suite 11045
Springfield, VA 22150

Phone

(703) 971-4739

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dan Poth, O.D.

Title

Owner

Phone

(703) 288-1978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionworks Doctors of Optometry Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1316029838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842375",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 SPRINGFIELD MALL",
            "address_2": "SUITE 11045",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22150",
            "telephone_number": "703-971-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, OD AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-288-1978",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280821",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Springfield, VA
• Providers in Springfield, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.