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

1100 S Hayes St
3Rd Floor
Arlington, VA 22202-4907

Phone

(703) 415-5544

Fax

(703) 415-5636

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dan Poth, O.D.

Title

Owner

Phone

(703) 288-1978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionworks Doctors of Optometry Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1699857656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842375",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S HAYES ST",
            "address_2": "3RD FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024907",
            "telephone_number": "703-415-5544",
            "fax_number": "703-415-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-288-1978",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280057",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Christina Damren, M.A., CCC-SLP
• Steven Marc Danaceau, M.D.
• Tyler Dancause, PT, DPT, ATC
• Marjan T Daneshmand, PHARMD
• Anh-Tu Hong Dang, PHARMD
• Daniels Dental Group
• Sandra D Daniels, D.D.S.
• Dan Marian Danila, M.D.
• Mason Dannhardt, PT, DPT
• Minhtran Thuy Dao

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.