Organization Active NPI

Daniel R McIntosh & Associates OD

  • Sports Vision Optometrist
  • Jacksonville, FL
National Provider Identifier
1417017872
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
Legal business name
DANIEL R MCINTOSH & ASSOCIATES OD
Practice address
3840 Belfort Rd Ste 105
Jacksonville, FL 32216-8208
Phone
(904) 737-1975
NPI assigned
Dec 8, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Daniel R MC Intosh, ODNPI 1598871048
Title
Owner
Phone
(904) 737-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision Optometrist 152WS0006X NU Primary

Addresses

Primary practice location

3840 Belfort Rd Ste 105
Jacksonville, FL 32216-8208

Mailing address

3840 Belfort Rd Ste 105
Jacksonville, FL 32216-8208
Phone (904) 737-1975

National Provider Directory

National Provider Directory

Locations

10300 Southside Blvd
Ste 114
Jacksonville, FL 32256
Phone (904) 363-8308

2115 University Blvd S
Ste 2
Jacksonville, FL 32216
Phone (904) 727-6884

3840 Belfort Rd
Ste 105
Jacksonville, FL 32216
Phone (904) 737-1975

Practitioners & affiliated clinicians

Practitioners 1

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1417017872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168208",
            "telephone_number": "904-737-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168208",
            "telephone_number": "904-737-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R MCINTOSH & ASSOCIATES OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MC INTOSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-737-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.