Daniel Robert Landis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2595 Issued in AR

Practice address

2110 W Walnut St
Rogers, AR 72756-3246

Phone

(479) 621-8391

Fax

(479) 621-0962

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Optical Center, PLLCGroup PAC ID 8527254499, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri-State Optical Center, PLLC

  • Optometrist
  • Rogers, AR
  • NPI 1154638153
  Medicare reassignment Care Compare group NPD
• Landis Eye Care PLLC

  • Optometrist
  • Rogers, AR
  • NPI 1699956888
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1588854343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 W WALNUT ST",
            "address_2": "STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563297",
            "telephone_number": "479-621-8391",
            "fax_number": "479-621-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563246",
            "telephone_number": "479-621-8391",
            "fax_number": "479-621-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Laffoon, LCSW
• Michelle Laginess
• Hugo T Lai, MD
• Randolph L Lais, DDS
• Landis Eye Care PLLC
• Katherine Ann Landis, O.D.
• Mersadies Landrum
• Kimberly Lane, RBT
• Pamela Laney, MS, RD, LD, CDE
• Jeffrey Lang, PHARMD

• Optometrist in Rogers, AR
• Providers in Rogers, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.