Individual provider Active NPI

Danielle Richardson, O.D.

  • Optometrist
  • West Hollywood, CA
National Provider Identifier
1720460918
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008306 Issued in NY
Practice address
605 N West Knoll Dr Ste B
West Hollywood, CA 90069-5242
Phone
(323) 880-7740
Fax
(833) 401-0549
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34081TLG CA
Optometrist 152W00000X 008306 NY Primary
Optometrist 152W00000X 8823T TX

Addresses

Primary practice location

605 N West Knoll Dr Ste B
West Hollywood, CA 90069-5242

Mailing address

605 N West Knoll Dr Ste B
Los Angeles, CA 90069-5242
Phone (424) 210-8004

Other identifiers 1

IdentifierTypeStateIssuer
460861OtherTXMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190521002464 CA Practitioner - Optometry 2466753611 Reassigns benefits to 1 organization
I20251009002981 CT Practitioner - Optometry 2466753611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1979 Marcus Ave
New Hyde Park, NY 11042-1076

950 S Fairfax Ave
Apt 520
Los Angeles, CA 90036-5692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008306NYMDMental Health Counselor
8823TXMDBehavioral Analyst
3409CTMDClinical Psychologist
34081TLGCAMDOptometrist
8823TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raffaele Inc CurrentSince Oct 6, 2025 Accepting new patients
Richardson OD Professional Corporation Optometrist CurrentSince Aug 17, 2025 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Jan 16, 2025 Accepting new patients

Locations

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

605 N West Knoll Dr
Ste B
West Hollywood, CA 90069
Phone (323) 880-7740

2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1720460918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N WEST KNOLL DR STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900695242",
            "telephone_number": "424-210-8004",
            "fax_number": "424-334-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N WEST KNOLL DR STE B",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695242",
            "telephone_number": "323-880-7740",
            "fax_number": "833-401-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34081TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008306",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8823T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "460861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.