Dan Caldwell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1627T Issued in OR

Practice address

125 NW Miller Ave
Gresham, OR 97030-7225

Phone

(503) 665-5415

Fax

(503) 492-2313

NPI assigned

Aug 19, 2005

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gresham Vision Center, Inc

  • Optometrist
  • Gresham, OR
  • NPI 1619022076
  Medicare reassignment

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1780676254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NW MILLER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307225",
            "telephone_number": "503-665-5415",
            "fax_number": "503-492-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NW MILLER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307225",
            "telephone_number": "503-665-5415",
            "fax_number": "503-492-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1627T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290155",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calcagno Pediatrics PC
• Frank Anthony Calcagno, MD
• James Calcagno, RN
• John Anthony Calcagno, MD
• Beth Renah Caldwell
• Faren Gabrielle Caldwell, RDH
• Rita Camacho
• Monica H Camara, LMT
• Alissa A Cameron, PT
• John Camerota

• Optometrist in Gresham, OR
• Providers in Gresham, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.