Individual provider Active NPI

Daniel Russell Richardson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Charleston, WV
National Provider Identifier
1639411887
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
26528 Issued in WV
Practice address
333 Laidley St Ste 208
Charleston, WV 25301-1614
Phone
(304) 935-0014
NPI assigned
Mar 25, 2013
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 26528 WV Primary

Addresses

Primary practice location

333 Laidley St Ste 208
Charleston, WV 25301-1614

Mailing address

PO Box 70100
Charleston, WV 25301-0100
Phone (304) 935-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814003241 WV Practitioner - Ophthalmology 7517260789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JC Edwards School of Medicine, Marshall University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

331 Laidley St
Suite 208
Charleston, WV 25301-1605
Phone (304) 935-0014

418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000
Phone (304) 428-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26528WVMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Eye Physicians & Surgeons PLLC CurrentSince Sep 4, 2025 Accepting new patients
West Virginia Retina Institute PLLC Retina Specialist CurrentSince Nov 12, 2025 Accepting new patients
Ohio Valley Eye Physicians & Surgeons PLLC Ophthalmology Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1933 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904

331 Laidley St
Ste 208
Charleston, WV 25301
Phone (304) 342-8579

333 Laidley St
Ste 208
Charleston, WV 25301
Phone (304) 935-0014

418 Grand Park Dr
Ste 315
Parkersburg, WV 26105
Phone (304) 428-3500

Interoperability endpoints

  • Direct secure messaging: daniel.richardson.p1@direct.sva.nextgenshare.com
  • Direct secure messaging: drichardson@tem.intellechartdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1639411887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253010100",
            "telephone_number": "304-935-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAIDLEY ST STE 208",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011614",
            "telephone_number": "304-935-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DANIEL",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WV",
            "license": "26528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.