Individual provider Active NPI

Daniel Patrick O'Dowd

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1588146492
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2534 Issued in NC
Practice address
119 E Hargett St
Raleigh, NC 27601-1579
Phone
(919) 856-8555
Fax
(919) 821-4817
NPI assigned
Sep 6, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2534 NC Primary

Addresses

Primary practice location

119 E Hargett St
Raleigh, NC 27601-1579

Mailing address

5433 Georgiana Ridge Dr
Holly Springs, NC 27540-7619

Other practice location 1

1201 N Brightleaf Blvd
Smithfield, NC 27577-4229
Phone (919) 934-8152

Other practice location 2

505 N Judd Pkwy NE
Fuquay Varina, NC 27526-2388
Phone (919) 557-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181204003758 NC Practitioner - Optometry 9739423575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuquay Eye Care OD PAGroup PAC ID 2466587555, 4 clinicians

Practice addresses (Care Compare)

505 N Judd Pkwy NE
Suite 109
Fuquay Varina, NC 27526-2389
Phone (919) 557-0308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2534NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fuquay Eye Care OD PA Optometrist CurrentSince Mar 25, 2022 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Dec 1, 2018 Accepting new patients

Locations

505 N Judd Pkwy NE
Ste 109
Fuquay Varina, NC 27526
Phone (919) 557-0308

505 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 467-9955

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1201 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8152

Interoperability endpoints

  • Direct secure messaging: danielodowd@direct.eyecare-partners.com

Organizations & group practices 4

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1588146492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 GEORGIANA RIDGE DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E HARGETT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011579",
            "telephone_number": "919-856-8555",
            "fax_number": "919-821-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774229",
            "country_code": "US",
            "telephone_number": "919-934-8152",
            "fax_number": "919-934-8154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Judd Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275262388",
            "country_code": "US",
            "telephone_number": "919-557-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DOWD",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.