Julie D. Danielson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR3036AT Issued in OR

Practice address

950 N 5TH St
Jacksonville, OR 97530-9016

Phone

(541) 899-2020

Fax

(541) 899-1481

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Vision Clinic Inc

  • Optometrist
  • Jacksonville, OR
  • NPI 1891920674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1710979240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309016",
            "telephone_number": "541-899-2020",
            "fax_number": "541-899-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309016",
            "telephone_number": "541-899-2020",
            "fax_number": "541-899-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "JULIE",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR3036AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210539",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Budziszewski, LMT
• Kimberly Ann Caffrey, RN
• Teresa Jayne Connell, LPC, ATR-BC, NCC
• Steven Scott Crowthers, CRNA
• Dani Knight Nutrition
• Denise Alane Davis, FNP-C
• Aubrey Douglas
• Mary Jane Durham, CPM,LDM
• Aimee Easley, LCSW
• Fertile Spring, LLC (Fertile Spring Acupuncture & Reproductive Wellness)

• Optometrist in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.