Active NPI
Daniel Michael D'Elia, O.D.
- Optometrist
- Lancaster, PA
National Provider Identifier
1619044401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001575
- Practice address
- 319 N Duke St
Lancaster, PA 17602-4930 - Phone
- (717) 396-0680
- Fax
- (717) 396-3833
- NPI assigned
- Nov 29, 2006
- Last updated
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | OEG001575 | PA | Primary |
Addresses
Primary practice location
319 N Duke St
Lancaster, PA 17602-4930
Mailing address
319 N Duke St
Lancaster, PA 17602-4930
Phone (717) 396-0680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014960260006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001575 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
| Empire Vision Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1619044401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024930",
"telephone_number": "717-396-0680",
"fax_number": "717-396-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024930",
"telephone_number": "717-396-0680",
"fax_number": "717-396-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ELIA",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014960260006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.