Daniel Poth, O.D. and Associates P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DANIEL POTH, O.D. AND ASSOCIATES P.C.

Practice address

1460 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4961

Phone

(540) 291-7362

Fax

(540) 785-1411

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Dolsie McDonald

Title

Manager

Phone

(210) 524-6663

Specialties & licenses 1

Addresses

Other names 1

• Visionworks Doctors of Optometry Former legal business name

Locations

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1649921750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014961",
            "telephone_number": "540-291-7362",
            "fax_number": "540-785-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-524-6663"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stanley D Dameron, DDS
• Kathaleen Damjan
• Diemngoc T. Dang, MD
• Amir Dangol, MD
• Daniel P Nelson LPC PLLC
• Audrey Daniel
• Yael Emebet Daniel
• Tiffany Daniels, LCSW
• Ryan Danko, MD
• Daryle Leighton Darden, M.D.

• Eyewear Supplier in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.