NPIMap

Organization Active NPI

Daniel Kingsley O.D., P.C.

  • Optometrist
  • Farmville, VA
National Provider Identifier
1407360134
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000544 Issued in VA
Legal business name
DANIEL KINGSLEY O.D., P.C.
Practice address
100 N Virginia St
Farmville, VA 23901-1537
Phone
(434) 392-8113
Fax
(434) 392-6271
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Dr. Daniel Kingsley, ODNPI 1417063744
Title
Optometrist/Owner
Phone
(434) 315-4036

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 0618000544 VA Primary

Addresses

Primary practice location

100 N Virginia St
Farmville, VA 23901-1537

Mailing address

100 North Virginia St
P.O. Box 303
Farmville, VA 23901
Phone (434) 392-8113

Other identifiers 1

IdentifierTypeStateIssuer
1417063744MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1407360134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH VIRGINIA ST",
            "address_2": "P.O. BOX 303",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-8113",
            "fax_number": "434-392-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VIRGINIA ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011537",
            "telephone_number": "434-392-8113",
            "fax_number": "434-392-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL KINGSLEY O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "434-315-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417063744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.