Individual provider Active NPI

Daniel Lee Cunningham, OD

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1467466847
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S530TA161 Issued in AL
Practice address
5550 Wares Ferry Rd
Montgomery, AL 36117-2113
Phone
(334) 271-3937
Fax
(334) 279-7434
NPI assigned
Jul 28, 2006
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S530TA161 AL Primary

Addresses

Primary practice location

5550 Wares Ferry Rd
Montgomery, AL 36117-2113

Mailing address

5550 Wares Ferry Road
Montgomery, AL 36117-2113
Phone (334) 271-3937

Other identifiers 1

IdentifierTypeStateIssuer
51059761OtherBCBS

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
I20100915000672 AL Practitioner - Optometry 5597880450 Reassigns benefits to 1 organization
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S530TA161ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Optical Laboratories Inc CurrentSince Sep 22, 2022 Accepting new patients

Locations

5550 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 271-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1467466847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172113",
            "telephone_number": "334-271-3937",
            "fax_number": "334-279-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172113",
            "telephone_number": "334-271-3937",
            "fax_number": "334-279-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S530TA161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51059761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.