Individual provider Active NPI

Daniel Lewis, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1609200211
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1944 Issued in AZ
Practice address
2950 N Dobson Rd
Suite 11
Chandler, AZ 85224-1800
Phone
(480) 963-8833
NPI assigned
Aug 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1944 AZ Primary

Addresses

Primary practice location

2950 N Dobson Rd
Suite 11
Chandler, AZ 85224-1800

Mailing address

2950 N Dobson Rd Ste 11
Chandler, AZ 85224-1824
Phone (480) 963-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150409002693 AZ Practitioner - Optometry 9032437694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1944AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometry, P.C. CurrentSince Jan 31, 2015 Accepting new patients

Locations

2950 N Dobson Rd
Chandler, AZ 85224
Phone (480) 963-8833

2950 N Dobson Rd
Ste 11
Chandler, AZ 85224
Phone (480) 963-8833

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.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1609200211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241824",
            "telephone_number": "480-963-8833",
            "fax_number": "480-963-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241800",
            "telephone_number": "480-963-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANIEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.