Active NPI
Daniel Luke Ewing, O.D.
- Optometrist
- Corsicana, TX
National Provider Identifier
1578948212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8761T
- Practice address
- 800 N Beaton St
Corsicana, TX 75110-3149 - Phone
- (903) 874-0005
- Fax
- (903) 874-0009
- NPI assigned
- Jul 23, 2015
- 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 | 8761T | TX | Primary |
Addresses
Primary practice location
800 N Beaton St
Corsicana, TX 75110-3149
Mailing address
501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 723-3250
Other practice location 1
105 W 7th Ave Ste 800
Corsicana, TX 75110-6430
Phone (903) 874-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351627001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Optometrist
- Sulphur Springs, TX
- NPI 1326672411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1578948212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E KOLSTAD ST",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758012352",
"telephone_number": "903-723-3250",
"fax_number": "903-723-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N BEATON ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751103149",
"telephone_number": "903-874-0005",
"fax_number": "903-874-0009"
}
],
"practiceLocations": [
{
"address_1": "105 W 7th Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Corsicana",
"state": "TX",
"postal_code": "751106430",
"country_code": "US",
"telephone_number": "903-874-0005",
"fax_number": "903-874-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EWING",
"first_name": "DANIEL",
"middle_name": "LUKE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8761T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "351627001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.