Individual provider Active NPI

Daniel Sida, CERTIFIED OPTICIAN

  • Optician
  • El Paso, TX
National Provider Identifier
1336335843
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
10526 Issued in TX
Practice address
1200 Golden Key Cir
Suite 160
El Paso, TX 79925-5820
Phone
(915) 593-6801
Fax
(915) 593-1419
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 10526 TX Primary

Addresses

Primary practice location

1200 Golden Key Cir
Suite 160
El Paso, TX 79925-5820

Mailing address

1200 Golden Key Cir
Suite 160
El Paso, TX 79925-5820
Phone (915) 593-6801

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Optical Optician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1336335843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR",
            "address_2": "SUITE 160",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255820",
            "telephone_number": "915-593-6801",
            "fax_number": "915-593-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR",
            "address_2": "SUITE 160",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255820",
            "telephone_number": "915-593-6801",
            "fax_number": "915-593-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDA",
        "first_name": "DANIEL",
        "credential": "CERTIFIED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.