Stacy Michele Daniel, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C-005778-1 Issued in NY

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• SM Daniel, Inc

  • Optician
  • East Syracuse, NY
  • NPI 1437790110
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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": []
}

• Diana L D'Eredita, LCSW
• Margaret D'Eredita, MS
• Nelida Maria Da Graca
• Shaina Elizabeth Daley, PHARM.D. R.PH
• Timothy A Damron, MD
• Siva V Dantu, MD
• Rhonda Lee Dantuono, MS SPECIAL ED.
• Kourtney K Darrow, NP
• David M. Girardi, OD, LLC
• David Torrales, OD, PLLC

• All providers in East Syracuse, NY
• Optician in New York

• 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.

Verify at the official NPI Registry.