Daniel H. Mallory, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DANIEL H. MALLORY, O.D.

Practice address

1409 N Norma St
Ridgecrest, CA 93555-2510

Phone

(760) 446-5555

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Daniel H Mallory, O.D.

Title

Owner

Phone

(760) 446-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1427398577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N NORMA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N NORMA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552510",
            "telephone_number": "760-446-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H. MALLORY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-446-5555",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Creel, LCSW
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• Natasha Sophie Cruz
• Sunit Dalal
• Hoang Anh Dang
• Brian Lory Danielsson, DDS
• Karen Elizabeth Davin, NP
• Shannon Elizabeth Davis
• Sue Marie Davis
• John De Geus, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.