Active NPI
Stacy Michele Daniel, LICENSED OPTICIAN
- Optician
- East Syracuse, NY
National Provider Identifier
1881244564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- C-005778-1
- Practice address
- 5781 Bridge St Ste 32
East Syracuse, NY 13057-2944 - Phone
- (315) 314-6681
- Fax
- (315) 299-4590
- NPI assigned
- Sep 16, 2019
- Last updated
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | C-005778-1 | NY | Primary |
Addresses
Primary practice location
5781 Bridge St Ste 32
East Syracuse, NY 13057-2944
Mailing address
5781 Bridge St Ste 32
East Syracuse, NY 13057-2944
Phone (315) 314-6681
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 |
|---|---|---|---|
| C-005778-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SM Daniel, Inc | Optician | Current | Accepting new patients |
Locations
5781 Bridge St
Ste 32
East Syracuse, NY 13057
Phone (315) 314-6681
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": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1881244564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 BRIDGE ST STE 32",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572944",
"telephone_number": "315-314-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 BRIDGE ST STE 32",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572944",
"telephone_number": "315-314-6681",
"fax_number": "315-299-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "STACY",
"middle_name": "MICHELE",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C-005778-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.