Active NPI
Daniel Paul Dodd, O.D.
- Optometrist
- Alamosa, CO
National Provider Identifier
1740324979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2186
- Practice address
- 3333 Clark St
Alamosa, CO 81101-2050 - Phone
- (719) 589-1500
- Fax
- (719) 587-3809
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Optometrist
- Lewistown, MT
- NPI 1245217199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | MT | MD | Professional Counselor |
| 2186 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates of Lewistown PC | Optometrist | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2186 | CO | Primary |
| Optometrist | 152W00000X | 678 | MT |
Addresses
NPPES NPI RegistryPrimary practice location
3333 Clark St
Alamosa, CO 81101-2050
Mailing address
3333 Clark St
Alamosa, CO 81101-2050
Phone (719) 589-1500
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| C448958 | Other | CO | MEDICARE PTAN |
| 14377276 | Medicaid | CO | |
| 678 | Other | MT | STATE OF MONTANA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2012.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1740324979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 CLARK ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012050",
"telephone_number": "719-589-1500",
"fax_number": "719-587-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CLARK ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012050",
"telephone_number": "719-589-1500",
"fax_number": "719-587-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2186",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "678",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "C448958",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14377276",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA",
"identifier": "678",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.