Individual provider Active NPI

Daniel Daugherty II, OD

  • Optometrist
  • Akron, OH
National Provider Identifier
1336630383
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006639 Issued in OH
Practice address
919 E Turkeyfoot Lake Rd Ste C
Akron, OH 44312-5250
Phone
(330) 899-0202
NPI assigned
May 25, 2018
Last updated
May 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006639 OH Primary

Addresses

Primary practice location

919 E Turkeyfoot Lake Rd Ste C
Akron, OH 44312-5250

Mailing address

919 E Turkeyfoot Lake Rd Ste C
Akron, OH 44312-5250
Phone (330) 899-0202

Other practice location 1

270 S Cleveland Massillon Rd Ste A
Fairlawn, OH 44333-6000
Phone (306) 666-1766

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

State licenses

LicenseStateTypeSpecialty
OPT.006639OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1336630383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E TURKEYFOOT LAKE RD STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125250",
            "telephone_number": "330-899-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E TURKEYFOOT LAKE RD STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125250",
            "telephone_number": "330-899-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 S Cleveland Massillon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443336000",
            "country_code": "US",
            "telephone_number": "306-666-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DANIEL",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.