Organization Active NPI

Richard S. Daniel, O.D., P.a.

Doing business as Daniel Vision Center

  • Eyewear Supplier
  • Fayetteville, NC
National Provider Identifier
1568636090
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09220OtherNCBLUE CROSS BLUE SHIELD
8909220MedicaidNC

Other names 1

  • Daniel Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.