Amy J S Daiber OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMY J S DAIBER OD PA

Doing business as

Daiber Vision Care

Practice address

317 East Parkway Drive
Russellville, AR 72801-3915

Phone

(479) 967-6113

Fax

(479) 968-6932

NPI assigned

Feb 7, 2007

Last updated

Mar 31, 2014By 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

Amy Jeanine Daiber, ODNPI 1609926344

Title

President

Phone

(479) 967-6113

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Daiber Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Amy J S Daiber OD PA

  dba Daiber Vision Care

  • Optometrist
  • Dardanelle, AR
  • NPI 1467590950

  O20051103001212

  Same enrollment

Tax ID family

Amy J S Daiber OD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amy J S Daiber OD PA

  dba Daiber Vision Care

  • Optometrist
  • Dardanelle, AR
  • NPI 1467590950
  NPD tax ID

Practitioners 2

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.

• Amy Jeanine Daiber, OD

  • Optometrist
  • Russellville, AR
  • NPI 1609926344
  Medicare reassignment Care Compare group NPD Authorized official
• Lori J Canfield, OD

  • Optometrist
  • Russellville, AR
  • NPI 1083752570
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1669512943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 EAST PARKWAY DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013915",
            "telephone_number": "479-967-6113",
            "fax_number": "479-968-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EAST PARKWAY DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013915",
            "telephone_number": "479-967-6113",
            "fax_number": "479-968-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J S DAIBER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "DAIBER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-967-6113",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124538722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5F421",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daiber Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alternative Opportunities (Dayspring Behavioral Health of Russellville)
• Sheree E Alumbaugh
• Amcare Senior Life Partners, Inc
• Amedco Arkansas PLLC (Clark Eye Clinic)
• American Oncology Partners, P.a. (Genesis Cancer and Blood Institute)
• Casey Anderson, RECOVERY ASSISTANT
• Jeana Corleen Anderson, MMT, CLT, CNHP
• Randall Alan Anderson, LPE-I
• Edward L Andrada, MD
• Katherine Angel

• Optometrist in Russellville, AR
• Providers in Russellville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.