Individual provider Active NPI

Daniel Dutra Morais, OD

  • Optometrist
  • Saginaw, TX
National Provider Identifier
1801996822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6655T Issued in TX
Practice address
1401 N Saginaw Blvd
Saginaw, TX 76179-5096
Phone
(817) 306-9400
Fax
(817) 232-0473
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6655T TX Primary

Addresses

Primary practice location

1401 N Saginaw Blvd
Saginaw, TX 76179-5096

Mailing address

6126 Green Jacket Dr Apt 1035
Fort Worth, TX 76137-6868
Phone (817) 306-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20060220000127 TX Practitioner - Optometry 6507871100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 N Saginaw Blvd
Saginaw, TX 76179-5096
Phone (817) 306-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6655TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Optometry P.C. Optometrist CurrentSince Jan 13, 2009 Accepting new patients

Locations

1401 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 306-4785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801996822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 GREEN JACKET DR APT 1035",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376868",
            "telephone_number": "817-306-9400",
            "fax_number": "817-232-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N SAGINAW BLVD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761795096",
            "telephone_number": "817-306-9400",
            "fax_number": "817-232-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAIS",
        "first_name": "DANIEL",
        "middle_name": "DUTRA",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6655T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

Verify at the official NPI Registry.