Individual provider Active NPI

Daniel C Harris, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1508858267
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4286 Issued in OH
Practice address
9998 Kings Auto Mall Rd
Cincinnati, OH 45249-8234
Phone
(513) 549-4140
Fax
(513) 683-7965
NPI assigned
Aug 18, 2005
Last updated
Nov 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4286 OH Primary

Addresses

Primary practice location

9998 Kings Auto Mall Rd
Cincinnati, OH 45249-8234

Mailing address

300 Countryside Dr
Lebanon, OH 45036-7865
Phone (937) 681-4956

Other practice location 1

402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113

Other practice location 2

300 Countryside Dr
Lebanon, OH 45036-7865
Phone (937) 681-4956

Other identifiers 1

IdentifierTypeStateIssuer
0896679MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200908003245 OH Practitioner - Optometry 5991840266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Claffie and AssociatesGroup PAC ID 2365566510, 6 clinicians

Practice addresses (Care Compare)

402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4286OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Claffie and Associates Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Dr Claffie and Associates Optometrist Current Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Eye Care & Surgery Assoc., Inc. Past Accepting new patients

Locations

9998 Kings Auto Mall Rd
Cincinnati, OH 45249
Phone (513) 683-9710

402 Premium Outlets Dr
Monroe, OH 45050
Phone (513) 360-0113

Organizations & group practices 7

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1508858267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COUNTRYSIDE DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367865",
            "telephone_number": "937-681-4956",
            "fax_number": "513-360-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 KINGS AUTO MALL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498234",
            "telephone_number": "513-549-4140",
            "fax_number": "513-683-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Premium Outlets Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450501832",
            "country_code": "US",
            "telephone_number": "513-360-0113",
            "fax_number": "513-360-0133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Countryside Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367865",
            "country_code": "US",
            "telephone_number": "937-681-4956",
            "fax_number": "513-360-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.