Individual provider Active NPI

Danielle Elaine Jordan, O.D.

  • Optometrist
  • Dobson, NC
National Provider Identifier
1386945699
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2197 Issued in NC
Practice address
212 S Main St
Dobson, NC 27017
Phone
(336) 386-8526
Fax
(336) 386-4180
NPI assigned
Nov 3, 2010
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2197 NC Primary

Addresses

Primary practice location

212 S Main St
Dobson, NC 27017

Mailing address

PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393

Other practice location 1

190 Independence Ave Ste A
North Wilkesboro, NC 28659-4270
Phone (336) 667-6782

Other practice location 2

800 S Stratford Rd
Winston Salem, NC 27103-3202
Phone (336) 765-5788

Other practice location 3

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

Other practice location 4

275 E King St Ste 1
Boone, NC 28607-5504
Phone (828) 265-2020

Other practice location 5

3443 Burke Mill Rd
Suite C1B
Winston-Salem, NC 27103
Phone (336) 331-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000963 NC Practitioner - Optometry 1557540721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Alex Appanaitis OD PAGroup PAC ID 9537241401, 3 clinicians

Practice addresses (Care Compare)

5305 Robinhood Village Dr
Winston Salem, NC 27106-9820
Phone (336) 924-9121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2197NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
W. Alex Appanaitis, O.D., P.a. Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Yadkin Vision Center O.D., PLLC Optometrist Past Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist Past Accepting new patients
Yadkin Vision Center O.D., PLLC Optometrist PastSince May 9, 2021 Accepting new patients

Locations

5305 Robinhood Village Dr
Winston Salem, NC 27106
Phone (336) 924-9121

Interoperability endpoints

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

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1386945699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-8526",
            "fax_number": "336-386-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Independence Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594270",
            "country_code": "US",
            "telephone_number": "336-667-6782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Stratford Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033202",
            "country_code": "US",
            "telephone_number": "336-765-5788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 Peters Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271275655",
            "country_code": "US",
            "telephone_number": "336-785-3486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 E King St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075504",
            "country_code": "US",
            "telephone_number": "828-265-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Burke Mill Rd",
            "address_2": "Suite C1B",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "27103",
            "country_code": "US",
            "telephone_number": "336-331-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DANIELLE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.