Individual provider Active NPI

Daniel Robert Maxwell, OD

  • Optometrist
  • Defiance, OH
National Provider Identifier
1881682771
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5132 Issued in OH
Practice address
101 Clinton St
Ste 1000
Defiance, OH 43512
Phone
(419) 782-4831
Fax
(419) 784-0197
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003319A IN
Optometrist 152W00000X 5132 OH Primary

Addresses

Primary practice location

101 Clinton St
Ste 1000
Defiance, OH 43512

Mailing address

101 Clinton St
Ste 1000
Defiance, OH 43512
Phone (419) 782-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130201000277 OH Order and Referring Only - OptometryPractitioner - Optometry 7911945530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5132OHMDPsychologist
18003319AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Vision Services LLC Optometrist PastSince Mar 1, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881682771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLINTON ST",
            "address_2": "STE 1000",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "43512",
            "telephone_number": "419-782-4831",
            "fax_number": "419-784-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLINTON ST",
            "address_2": "STE 1000",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "43512",
            "telephone_number": "419-782-4831",
            "fax_number": "419-784-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003319A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.