Organization Active NPI

Danielson Eye Care

  • Optometrist
  • Wilbraham, MA
National Provider Identifier
1346524774
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2602 Issued in MA
Legal business name
DANIELSON EYE CARE
Practice address
1964 Boston Rd
Wilbraham, MA 01095-1480
Phone
(413) 543-5444
Fax
(413) 543-5444
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. John T. Danielson, O.D.NPI 1629072178
Title
Owner
Phone
(413) 543-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2602 MA Primary

Addresses

Primary practice location

1964 Boston Rd
Wilbraham, MA 01095-1480

Mailing address

1964 Boston Rd
Wilbraham, MA 01095-1480
Phone (413) 543-5444

Other identifiers 1

IdentifierTypeStateIssuer
110014431AMedicaidMA

National Provider Directory

National Provider Directory

Locations

1964 Boston Rd
Wilbraham, MA 01095
Phone (413) 543-4520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1346524774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951480",
            "telephone_number": "413-543-5444",
            "fax_number": "413-543-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951480",
            "telephone_number": "413-543-5444",
            "fax_number": "413-543-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELSON EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-543-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110014431A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.