Amy Jeanine Daiber, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2402 Issued in AR

Practice address

317 East Parkway Dr
Russellville, AR 72801-3915

Phone

(479) 967-6113

Fax

(479) 968-6932

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy J S Daiber OD PAGroup PAC ID 9032164017, 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.

• Amy J S Daiber OD PA

  • Optometrist
  • Russellville, AR
  • NPI 1669512943
  Medicare reassignment Care Compare group NPD Authorized official
• Amy J S Daiber OD PA

  • Optometrist
  • Dardanelle, AR
  • NPI 1467590950
  NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609926344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 EAST PARKWAY DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013915",
            "telephone_number": "479-967-6113",
            "fax_number": "479-968-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EAST PARKWAY DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013915",
            "telephone_number": "479-967-6113",
            "fax_number": "479-968-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIBER",
        "first_name": "AMY",
        "middle_name": "JEANINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICAE",
            "identifier": "A002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "AR0017505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5291236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "15062000041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AR2402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Cutler, M.S. CFY-SLP
• Cynthia R. Hines, M.D., P.a.
• Hannah D'Amato
• Tera Dacus, MHP
• Hadley Dahlem, M.S., CCC-SLP
• Richard E Daily, MD
• Shelly Kay Daily, APN
• Emmit Dalton
• Michael Scott Dalton, D.D.S.
• Debi C Day Damron Burns, DAY TREATMENT SUPERV

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.