Daniel J. Niederkohr, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3083 Issued in OH

Practice address

105 Morey Dr
Marysville, OH 43040-1647

Phone

(937) 642-1916

Fax

(937) 642-3620

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: dniederkohr@direct.eyecare-partners.com

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1376592618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401647",
            "telephone_number": "937-642-1916",
            "fax_number": "937-642-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401647",
            "telephone_number": "937-642-1916",
            "fax_number": "937-642-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERKOHR",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Generations Family Chiropractic
• New Life Nurse-Midwifery Care
• New Reflections Counseling Center, LLC
• Tara L Nickle
• Feng Nie, M.D.
• Neil A. Niemi, M.D.
• Aaron Nietz
• Lynda Nietz
• North Maple Chiropractic LLC
• Lauren Northrup

• Optometrist in Marysville, OH
• Providers in Marysville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.