Active NPI
Daniel M Eichenbaum, MD, PA
- Ophthalmology Physician
- Murphy, NC
National Provider Identifier
1679742845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 000028854
- Legal business name
- DANIEL M EICHENBAUM, MD, PA
- Practice address
- 1321 W US Highway 64
Post Office Box 39
Murphy, NC 28906-3361 - Phone
- (828) 837-5404
- Fax
- (828) 834-5621
- NPI assigned
- Feb 21, 2008
- Last updated
- Feb 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila M Clayton
- Title
- Office Manager
- Phone
- (828) 837-5404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 000028854 | NC | Primary |
Addresses
Primary practice location
1321 W US Highway 64
Post Office Box 39
Murphy, NC 28906-3361
Mailing address
1321 W US Highway 64
Post Office Box 39
Murphy, NC 28906-3361
Phone (828) 837-5404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930252 | Medicaid | NC | |
| 00380751A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
101 Riverstone Vis
Ste 204
Blue Ridge, GA 30513
Phone (706) 258-4130
941 Maddox Dr
Ste 236
East Ellijay, GA 30540
Phone (828) 837-5404
1321 W US Highway 64
Murphy, NC 28906
Phone (828) 837-5404
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1679742845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 W US HIGHWAY 64",
"address_2": "POST OFFICE BOX 39",
"city": "MURPHY",
"state": "NC",
"postal_code": "289063361",
"telephone_number": "828-837-5404",
"fax_number": "828-834-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 W US HIGHWAY 64",
"address_2": "POST OFFICE BOX 39",
"city": "MURPHY",
"state": "NC",
"postal_code": "289063361",
"telephone_number": "828-837-5404",
"fax_number": "828-834-5621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL M EICHENBAUM, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "828-837-5404"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "000028854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930252",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00380751A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murphy, NC
- D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
- D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
- D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
- D. Duncan Sumpter, PC (Appalachian Community Services)
- D. Duncan Sumpter, PC (Appalachian Community Services)
- Jenny Lori Davenport, M.H.S., R.D., L.D.N.
- David J. Mock, MD, PA
- Karen Ann Davis, DO
- Lizbeth Keely Davis
- David Dennis, RPH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.