Daniel J Demarino

Primary specialty

OptometristTaxonomy code 152W00000X

License

804D Issued in WV

Practice address

104 E Main St
Clarksburg, WV 26301-2193

Phone

(304) 624-5642

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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 WV

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

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1720153174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015505",
            "telephone_number": "304-624-5642",
            "fax_number": "304-624-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012193",
            "telephone_number": "304-624-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARINO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "804D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150956000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annalisa Delagarza, PHARM.D.
• Charles E Delaney
• Virginia Grace Delawder, M.ED., NBC-HWC
• Deluca Family Wellness Center, Inc.
• Matthew Joseph Deluca, MS, LPC
• Belinda Ann Demastus
• Elizabeth Ann Dempsey, MSW
• Eric Dennison
• Jennifer Destito, OTR
• Pramoda Kumari Devabhaktuni, M.D.

• Optometrist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.