Daniels Optometric Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-827-TA-355 Issued in AL

Legal business name

DANIELS OPTOMETRIC SERVICES, LLC

Practice address

2080 Berryhill Rd
Montgomery, AL 36117-3599

Phone

(334) 387-2020

Fax

(334) 387-2019

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Banks Daniel, O.D.NPI 1457443491

Title

Sole Member

Phone

(334) 398-3384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa B. Daniel, O.D.

  • Optometrist
  • Auburn, AL
  • NPI 1457443491
  Medicare reassignment Care Compare group Authorized official
• Amy G Allen, OD

  • Optometrist
  • Opelika, AL
  • NPI 1144944877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1437682374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 TARA LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308242",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS OPTOMETRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "334-398-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-827-TA-355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Daniel
• Roosevelt Alfonso Daniel, DDS
• Sadeidra Alecia Daniel
• Shawona Cannon Daniel, CRNP
• Shirley Jennifer Daniel, DDS
• Ghandi S Daniels
• Lisa Marjorie Daniels, PMHNP
• Lisa Kay Danley
• Angela Battle Dansby, SLEEP EDUCATOR
• Catrece Dantzler

• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.