Richard Shaffer Daniel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1115 Issued in NC

Practice address

161 Westwood Shopping Ctr
Fayetteville, NC 28314-1521

Phone

(910) 864-6070

Fax

(910) 864-4036

NPI assigned

Mar 30, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1649231598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141521",
            "telephone_number": "910-864-6070",
            "fax_number": "910-864-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141521",
            "telephone_number": "910-864-6070",
            "fax_number": "910-864-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "RICHARD",
        "middle_name": "SHAFFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909220",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09220",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Dandurand, DO
• Daniel & Max, LLC (Stanton Optical)
• Daniel J Culliton DC PC (Valley Chiropractic Group)
• Justin Daniel, PHARMD
• Laila Alsaffar Daniel, LCMHC
• Stella Daniel
• Salvatore Cosimo Daniele, B.S., D,C.
• Anthony M Daniels, MD
• Chayse Daniels
• Linda Daniels

• Optometrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.