Individual provider Active NPI

Lisa B. Daniel, O.D.

  • Optometrist
  • Auburn, AL
National Provider Identifier
1457443491
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S827TA355 Issued in AL
Practice address
1955 Opelika Rd
Auburn, AL 36830-2811
Phone
(334) 821-8889
Fax
(334) 821-4733
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S827TA355 AL Primary

Addresses

Primary practice location

1955 Opelika Rd
Auburn, AL 36830-2811

Mailing address

2080 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 387-2020

Other practice location 1

2080 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 387-2020

Other identifiers 1

IdentifierTypeStateIssuer
51537440OtherALBLUE CROSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000740 AL Practitioner - Optometry 0143126102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care of Berryhill, LLCGroup PAC ID 4082614649, 5 clinicians
Daniels Optometric Services LLCGroup PAC ID 4183964737, 2 clinicians

Practice addresses (Care Compare)

2080 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 387-2020

8671 Tara LN
Auburn, AL 36830-8242
Phone (334) 387-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S827TA355ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of Berryhill, LLC Optometrist CurrentSince Nov 1, 2006 Accepting new patients
Auburn Optical Optometrist Past Accepting new patients

Locations

2080 Berryhill Rd
Montgomery, AL 36117
Phone (334) 387-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1457443491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 OPELIKA RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302811",
            "telephone_number": "334-821-8889",
            "fax_number": "334-821-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Berryhill Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173599",
            "country_code": "US",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "LISA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S827TA355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51537440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.