Daniel J Niederkohr OD Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DANIEL J NIEDERKOHR OD INC

Practice address

105 Morey Dr
Marysville, OH 43040-1647

Phone

(937) 642-1916

Fax

(937) 642-3620

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Niederkohr, OD

Title

Owner

Phone

(937) 642-1916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1760659957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401647",
            "telephone_number": "937-642-1916",
            "fax_number": "937-642-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401647",
            "telephone_number": "937-642-1916",
            "fax_number": "937-642-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J NIEDERKOHR OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "NIEDERKOHR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-642-1916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Marysville, OH
• Providers in Marysville, OH by specialty
• Eyewear Supplier in Ohio

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

Verify at the official NPI Registry.