Daniel Timothy Creighton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T0046551 Issued in NY

Practice address

1884 Victory Blvd
Staten Island, NY 10314-3514

Phone

(718) 273-5000

NPI assigned

Jul 31, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Avenue D Opticians Inc

  • Optician
  • Brooklyn, NY
  • NPI 1093883746
  NPD (past)
• Williams Eye Works, Inc

  • Optician
  • Staten Island, NY
  • NPI 1871691378

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386650422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEMENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101501",
            "telephone_number": "718-448-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143514",
            "telephone_number": "718-273-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "DANIEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T0046551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK INSURANCE",
            "identifier": "904916",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Crawbuck, OTR/L
• Bonnie Celeste Crea
• Creative Art & Ink Corp
• Kelsey R Cregg
• Julie Kristen Cregin, P.T.
• Brittany Marie Crescenzi, LMHC
• Lauren Ashley Crespi, MS, CCC-SLP, TSSLD
• Rachel Crespi, CCC-SLP, TSSLD
• Danielle Alexandra Crespo, PA-C
• Jessica Crespo, P.A.

• Optometrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.