Daniel C Little, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

370 Issued in ND

Practice address

107 6TH Ave NW
Mandan, ND 58554-2609

Phone

(701) 663-0313

Fax

(701) 663-1604

NPI assigned

Jul 20, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Excellent Eyes, P.C.

  • Optometrist
  • Mandan, ND
  • NPI 1194714212

  O20100930089345

  Same enrollment

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.

• Excellent Eyes, P.C.

  • Optometrist
  • Mandan, ND
  • NPI 1194714212
  Medicare reassignment NPD
• Community Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1619997848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 6TH AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585542609",
            "telephone_number": "701-663-0313",
            "fax_number": "701-663-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 6TH AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585542609",
            "telephone_number": "701-663-0313",
            "fax_number": "701-663-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60210",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delva Lewis
• Life Advocates, LLC
• Benji Lillestol
• Darrel G Lindensmith, MA MS LPC
• Twila Dawn Lindquist, QSP, CNA
• Daniel J Long, OD
• Patricia Longie
• Tina Lorenzen
• April Lura
• Stephanie Macdonald, FNP-C

• Optometrist in Mandan, ND
• Providers in Mandan, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.