Daniel D David

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001643 Issued in WA

Practice address

560 SE Bishop Blvd
Pullman, WA 99163-5505

Phone

(509) 334-3300

Fax

(509) 334-7591

NPI assigned

Sep 19, 2005

Last updated

Feb 15, 2013By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Daniel D David

  dba Family Eye Clinic

  • Optometrist
  • Pullman, WA
  • NPI 1174826002
  Authorized official Same address or phone
• Moscow Family Eye Care Inc.

  dba Moscow Family Eye Care

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1467885558
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1740275569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635505",
            "telephone_number": "509-334-3300",
            "fax_number": "509-334-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635505",
            "telephone_number": "509-334-3300",
            "fax_number": "509-334-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "DANIEL",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "000503341",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005718",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NORTHWEST HEALTH",
            "identifier": "00010015358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "DAVDN5371457713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "000096751",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3506831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wararat Suriyo Dail, RN
• Elizabeth Wintor Dailey, L.M.P.
• Cameron K Dandridge
• Daniel D David (Family Eye Clinic)
• Patricia L Davenport, ATC
• Heather N Davis-Remacle, PA-C
• Elizabeth C Davis, DPT
• Jennifer L Davis, PA-C
• Randi Briann Davis
• Shane Randal Davis

• Optometrist in Pullman, WA
• Providers in Pullman, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.