Active NPI
Lauren Elizabeth Daniel, OD
- Optometrist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003579
- Practice address
- 1415 Wooten Lake Rd NW
Kennesaw, GA 30144-1336 - Phone
- (770) 573-4345
- NPI assigned
- Jun 7, 2024
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003579 | GA | Primary |
Addresses
Primary practice location
1415 Wooten Lake Rd NW
Kennesaw, GA 30144-1336
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Wooten Lake Rd NW
Suite 100
Kennesaw, GA 30144-1342
Phone (770) 424-2020
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
9801 Hwy 92
Suite 100
Woodstock, GA 30188-6454
Phone (770) 592-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003579 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
6121 Cedarcrest Rd NW
#108
Acworth, GA 30101
Phone (770) 529-7789
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008
3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012
800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220
1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733
123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044
335 W Ponce de Leon Ave
Ste F
Decatur, GA 30030
Phone (404) 377-3937
1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020
1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039
250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449
9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100
12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
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- NPI 1275326571
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- Optometrist
- Atlanta, GA
- NPI 1427714203
-
- Optometrist
- Woodstock, GA
- NPI 1144684184
-
- Optometrist
- Martinez, GA
- NPI 1689657322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1881436210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 WOOTEN LAKE RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441336",
"telephone_number": "770-573-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-07-17",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.