Danada Vision Center, LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

046008403 Issued in IL

Legal business name

DANADA VISION CENTER, LLC

Practice address

324 E Roosevelt Rd
Wheaton, IL 60187-5563

Phone

(630) 668-0378

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Christian G Burch, ODNPI 1699883033

Title

Owner/Optometrist

Phone

(630) 668-0378

Specialties & licenses 2

Addresses

Other names 1

• Danada Vision Center Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Danada Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Danada Vision Center, LLC

  • Optometrist
  • Wheaton, IL
  • NPI 1962742940
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: danadavision@revehr.com

Practitioners 1

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

• Christian G Burch, OD

  • Optometrist
  • Wheaton, IL
  • NPI 1699883033
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1467616235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875563",
            "telephone_number": "630-668-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875563",
            "telephone_number": "630-668-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANADA VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "630-668-0378",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008403",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Danadavision@revehr.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "324 E Roosevelt Rd",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601875563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Danadavision@revehr.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "324 E Roosevelt Rd",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601875563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Danada Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Danada Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lana N Dalbah
• Donald Allen Dale Jr., DDS
• Sarah Daley, MA
• Gerri Lynn Dambra
• Danada Vein Care SC
• Danada Vision Center, LLC
• Melisa Dangles
• Ryan M. Daniels, LPC
• Trisshauna Daniels
• Melissa Nicole Dattalo, MD, MPH

• Corneal and Contact Management Optometrist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.