Daniel Mark Judd, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7236T Issued in CA

Practice address

600 E Hobsonway
Blythe, CA 92225-1739

Phone

(760) 922-0284

NPI assigned

Oct 3, 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

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.

• Blythe Eye Care Medical Group

  • Optometrist
  • Blythe, CA
  • NPI 1083882492
  NPD Authorized official
• Jude J Santiago M D Inc

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1710174578
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1407941818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E HOBSON WAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251739",
            "telephone_number": "760-922-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251739",
            "telephone_number": "760-922-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7236T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Thompson Hurst, P.T.
• Lawrence Hosmer Hurst, P.T.
• Rebecca L Jacques, PHD
• Joshua Tree Emergency Physicians Medical Group, Inc
• Terri L Juarez
• Juma Express Transportation
• Patricia Kem
• Victor Khalil
• Brandon Lee Kirby
• Ashley K. Lamonica, ASW

• Optometrist in Blythe, CA
• Providers in Blythe, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.