Dr Daniel L Peters OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

110 Issued in SD

Legal business name

DR DANIEL L PETERS OD PC

Practice address

1436 E 10TH St
Winner, SD 57580-2818

Phone

(605) 842-1974

Fax

(605) 842-2328

NPI assigned

Sep 25, 2006

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel L Peters, ODNPI 1730131392

Title

President

Phone

(605) 842-1974

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel L Peters, O.D.

  • Optometrist
  • Winner, SD
  • NPI 1730131392
  Authorized official Same address or phone

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1649371667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 E 10TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802818",
            "telephone_number": "605-842-1974",
            "fax_number": "605-842-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 E 10TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802818",
            "telephone_number": "605-842-1974",
            "fax_number": "605-842-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL L PETERS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-842-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201632",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9226153",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aric N Craven, DPT
• Daybreak Village Inc
• Desirae Lynne Vobr (Hearing Health Services)
• Clyde A Diede, DC
• Jessica Marie Digrazia, OTR/L
• Cindi Edwards, OT
• Haelee Engel, M.S.
• Family Practice Associates of Winner Prof LLC
• Bradley J Farley, DDS
• Fort Meade Vamc

• Optometrist in Winner, SD
• Providers in Winner, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.