Individual provider Active NPI

Daniel D Michael, OD

  • Optometrist
  • Fort Gordon, GA
National Provider Identifier
1821090077
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1664 Issued in GA
Practice address
Exchange Eyecare
271 3Rd Ave
Fort Gordon, GA 30905
Phone
(706) 771-9403
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1664 GA Primary

Addresses

Primary practice location

Exchange Eyecare
271 3Rd Ave
Fort Gordon, GA 30905

Mailing address

4 Harding CT
Evans, GA 30809-5432
Phone (706) 771-9403

Other practice location 1

345 Lindquist Rd
Fort Stewart, GA 31314-5043
Phone (912) 876-1101

Other practice location 2

9220 Marne Rd Bldg 9220
Fort Moore, GA 31905-5515
Phone (706) 689-7138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080201000325 GA Practitioner - Optometry 3274615075 Practice locations: Fort Gordon, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

271 3Rd Ave
Suite 38200
Fort Gordon, GA 30905-5904
Phone (706) 771-9403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1664GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Exchange Eyecare PC Optometrist CurrentSince Nov 24, 2025 Accepting new patients
LTC Eyecare Inc Optometrist Past Accepting new patients
Gulf Coast Optometry, PA PastSince Aug 1, 2010 Accepting new patients
National Vision, Inc. Past Accepting new patients
Daniel D Michael OD Optometrist PastSince Jan 1, 1990 Accepting new patients
Yuchong Smith Inc. Optometrist Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1821090077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARDING CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095432",
            "telephone_number": "706-771-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXCHANGE EYECARE",
            "address_2": "271 3RD AVE",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-771-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Lindquist Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145043",
            "country_code": "US",
            "telephone_number": "912-876-1101",
            "fax_number": "706-724-0239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Marne Rd Bldg 9220",
            "address_purpose": "LOCATION",
            "city": "Fort Moore",
            "state": "GA",
            "postal_code": "319055515",
            "country_code": "US",
            "telephone_number": "706-689-7138",
            "fax_number": "706-724-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

Verify at the official NPI Registry.