Active NPI
Richard S. Daniel, O.D., P.a.
Doing business as Daniel Vision Center
- Eyewear Supplier
- Fayetteville, NC
National Provider Identifier
1568636090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- RICHARD S. DANIEL, O.D., P.A.
- Doing business as
- Daniel Vision Center
- Practice address
- 161 Westwood Shopping Ctr
Fayetteville, NC 28314-1521 - Phone
- (910) 864-6070
- Fax
- (910) 864-4036
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Shaffer Daniel, O.D.
- Title
- Owner
- Phone
- (910) 864-6070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
161 Westwood Shopping Ctr
Fayetteville, NC 28314-1521
Mailing address
161 Westwood Shopping Ctr
Fayetteville, NC 28314-1521
Phone (910) 864-6070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09220 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8909220 | Medicaid | NC |
Other names 1
- Daniel Vision Center
National Provider Directory
National Provider DirectoryLocations
161 Westwood Shopping Ctr
Fayetteville, NC 28314
Phone (910) 864-6070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1568636090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WESTWOOD SHOPPING CTR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141521",
"telephone_number": "910-864-6070",
"fax_number": "910-864-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WESTWOOD SHOPPING CTR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141521",
"telephone_number": "910-864-6070",
"fax_number": "910-864-4036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD S. DANIEL, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "SHAFFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-864-6070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09220",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909220",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Daniel Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.