Odtraveler PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6233TG Issued in TX

Legal business name

ODTRAVELER PLLC

Practice address

833 W Davis St
Dallas, TX 75208-4954

Phone

(214) 484-4675

Fax

(214) 377-7181

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Stephen McDaniel, O.D.

Title

Owner

Phone

(214) 724-8524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1720514318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "214-484-4675",
            "fax_number": "214-377-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "214-484-4675",
            "fax_number": "214-377-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODTRAVELER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-724-8524",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6233TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Tannehill Odom, PA-C
• Travis Edward Odom
• Dylan P Odonnell, RBT
• Shane Odonnell, DO
• Elizabeth Anne Odstrcil, M.D.
• Justice U Odu, MD.
• Marvise Ijeoma Oduagu
• Ijeoma Odueze
• Onyinyechukwu Isioma Odum, OTR/L
• Clarita V Odvina, MD

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.