Individual provider Active NPI

Daniel Hile III, O.D.

  • Optometrist
  • Paso Robles, CA
National Provider Identifier
1902869621
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11356T Issued in CA
Practice address
1112 Vine St
Paso Robles, CA 93446-5505
Phone
(805) 238-1001
Fax
(805) 237-1057
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11356T CA Primary

Addresses

Primary practice location

1112 Vine St
Paso Robles, CA 93446-5505

Mailing address

1112 Vine Street
Paso Robles, CA 93446
Phone (805) 610-2006

Other identifiers 1

IdentifierTypeStateIssuer
SD011356DMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120125000852 CA Practitioner - Optometry 6507076767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians
Wells and Hile OD an Optometric CorporationGroup PAC ID 9537404983, 4 clinicians

Practice addresses (Care Compare)

1112 Vine St
Paso Robles, CA 93446-5505

1112 Vine St
Suite B
Paso Robles, CA 93446-5506
Phone (805) 238-1001

2231 Bayview Heights Dr
Los Osos, CA 93402-3900
Phone (805) 528-5333

8105 Morro Rd
Suite a
Atascadero, CA 93422-3911
Phone (805) 466-6939

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11356TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells and Hile OD an Optometric Corporation Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Aug 1, 2001 Accepting new patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Aug 1, 2001 Accepting new patients
Lens Masters of Atascadero Inc Optometrist PastSince Jun 11, 2016 Accepting new patients

Locations

8105 Morro Rd
Ste A
Atascadero, CA 93422
Phone (805) 466-6939

2231 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-5333

2238 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-2511

1112 Vine St
Paso Robles, CA 93446
Phone (805) 238-1001

1112 Vine St
Ste B
Paso Robles, CA 93446
Phone (805) 238-1001

Organizations & group practices 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1902869621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VINE STREET",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-610-2006",
            "fax_number": "805-610-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465505",
            "telephone_number": "805-238-1001",
            "fax_number": "805-237-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILE",
        "first_name": "DANIEL",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11356T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD011356D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.