Active NPI
Daniel L Jones, O.D.
- Optometrist
- Southern Shores, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2156
- Practice address
- 5569 N Croatan Hwy
Southern Shores, NC 27949-3996 - Phone
- (252) 441-2000
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4291 | OH | |
| Optometrist | 152W00000X | 2156 | NC | Primary |
Addresses
Primary practice location
5569 N Croatan Hwy
Southern Shores, NC 27949-3996
Mailing address
PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393
Other practice location 1
795 US Highway 64 E
Plymouth, NC 27962-9314
Phone (252) 793-2103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0866004 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5569 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 441-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4291 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecarecenter, O.D., P.a. | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Portage Vision Care LLC | Optometrist | Past | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Past | Accepting new patients |
| C.V. Sikes,Jr. & R.B. Gotschalk PTR | Optometrist | Past | Accepting new patients |
| Dr. Gregory a. Marchand and Associates, Inc. | Optometrist | Past | Accepting new patients |
Locations
819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020
5569 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-8777
Organizations & group practices 7
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.
-
- Optometrist
- Cary, NC
- NPI 1417973546
-
- Optometrist
- Ravenna, OH
- NPI 1376735118
-
dba Family Eye Care Optometry
- Optometrist
- Sanford, NC
- NPI 1083768311
-
- Optometrist
- Ravenna, OH
- NPI 1285687863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1407812530",
"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",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5569 N CROATAN HWY",
"city": "SOUTHERN SHORES",
"state": "NC",
"postal_code": "279493996",
"telephone_number": "252-441-2000"
}
],
"practiceLocations": [
{
"address_1": "795 US Highway 64 E",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "NC",
"postal_code": "279629314",
"country_code": "US",
"telephone_number": "252-793-2103",
"fax_number": "252-793-5154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "DANIEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4291",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0866004",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southern Shores, NC
- Dr Donald E McGriff DC PC
- Amy Higgins Feltz, RPH
- Shaena Marie Hollomon, LMT, MMP
- Joann NMN Hummers, LCAS,LPC
- Island Acupuncture and Massage Therapy, Inc
- Craig W McGiffin, D.C
- Donald Eugene McGriff, D.C.
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03112)
- Outerbanks Massage With Goulet (Omg)
- Amy Morgan Robinson, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.