Individual provider Active NPI

Daniel Jacob McDwyer, LDO

  • Optician
  • Middletown, NY
National Provider Identifier
1902598741
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
009540 Issued in NY
Practice address
470 Route 211 E
Middletown, NY 10940-2270
Phone
(845) 342-0426
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 009540 NY Primary

Addresses

Primary practice location

470 Route 211 E
Middletown, NY 10940-2270

Mailing address

470 Route 211 E
Middletown, NY 10940-2270
Phone (845) 342-0426

Other practice location 1

3133 E Main St
Mohegan Lake, NY 10547-1521
Phone (914) 526-1110

Other practice location 2

1201 Route 300
Newburgh, NY 12550-5005
Phone (845) 567-0068

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

LicenseStateTypeSpecialty
009540NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1902598741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402270",
            "telephone_number": "845-342-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402270",
            "telephone_number": "845-342-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 E Main St",
            "address_purpose": "LOCATION",
            "city": "Mohegan Lake",
            "state": "NY",
            "postal_code": "105471521",
            "country_code": "US",
            "telephone_number": "914-526-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Route 300",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125505005",
            "country_code": "US",
            "telephone_number": "845-567-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDWYER",
        "first_name": "DANIEL",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.