Active NPI
Daniel Lee Adams, O.D.
- Optometrist
- Stillwater, OK
National Provider Identifier
1487755898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 889
- Practice address
- 2123 W 6TH Ave
Stillwater, OK 74074-4136 - Phone
- (405) 372-3724
- Fax
- (405) 743-1042
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 889 | OK | Primary |
Addresses
Primary practice location
2123 W 6TH Ave
Stillwater, OK 74074-4136
Mailing address
2123 W 6TH Ave
Stillwater, OK 74074-4136
Phone (405) 372-3724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268440001 | Other | OK | PALMETTO GOVERNMENT BENEFIT ADMINISTRATORS |
| 100761460A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1487755898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744136",
"telephone_number": "405-372-3724",
"fax_number": "405-743-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744136",
"telephone_number": "405-372-3724",
"fax_number": "405-743-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GOVERNMENT BENEFIT ADMINISTRATORS",
"identifier": "0268440001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100761460A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.