Daniel Poth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601001531 Issued in VA

Practice address

8359 Leesburg Pike
Vienna, VA 22182-2492

Phone

(703) 442-9295

Fax

(703) 749-0936

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Daniel Poth, O.D. and Associates, P.C.

  • Optometrist
  • Vienna, VA
  • NPI 1154354041

  DC

  Medicare reassignment
• Charles M Cummins, OD, PA

  • Eyewear Supplier
  • Turnersville, NJ
  • NPI 1114703956

  Optometrist

  NPD (past)
• Hour Eyes Inc

  • Eyewear Supplier
  • Waldorf, MD
  • NPI 1851473805
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1487736245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822492",
            "telephone_number": "703-442-9295",
            "fax_number": "703-749-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTH",
        "first_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrzad Poorshaghaghi, E.D.D.
• Madelyn Rose Pope
• Kris K Popli, D.D.S.
• Kiana Nifarette Portillo
• Stephanie Gordon Posner, PSY.D.
• Potomac Health & Wellness (PHW), Inc
• Zinaida Potorac, ACNP, CCNS
• Talayah Pratt
• Premier Women'S Health PLLC
• Premise Health of Virginia Medical PC

• Optometrist in Vienna, VA
• Providers in Vienna, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.