Daniel Poth, O.D. and Associates, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DANIEL POTH, O.D. AND ASSOCIATES, P.C.

Doing business as

Hour Eyes PC

Practice address

11903L Lee Jackson Memorial Hwy
Suite G133
Fairfax, VA 22033

Phone

(703) 218-8036

Fax

(703) 218-9841

NPI assigned

Oct 16, 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

• Hour Eyes PC Doing business as

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1316037559",
    "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": "11903L LEE JACKSON MEMORIAL HWY",
            "address_2": "SUITE G133",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-218-8036",
            "fax_number": "703-218-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-01-04",
        "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": "9280081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hour Eyes PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan K Daly, MSW
• Carol Ann Damon, R.N.
• Roula Saleem Dandalides, MSN, FNP-C
• Quyen Dang, D.D.S
• Daniel Poth, O.D. and Associates, P.C.
• Alexandra Daniel, LPC
• Denee Daniel, MA, CSAC, LPC-R
• Vera D Daniel, LCSW
• Courtney Patricia Dannahey, FNP
• Sheri C Danner-Murphy, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.