Daniela Nicosia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1030 Issued in AZ

Practice address

7071 N 138TH Ave
Luke Afb, AZ 85307

Phone

(623) 536-0332

Fax

(623) 536-0332

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dr.daniela.nicosia@direct.eyecare-partners.com

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.

• Nicosia Consulting LLC

  • Optometrist
  • Mesa, AZ
  • NPI 1124357702
  NPD (past) Authorized official
• Eye on Health Co LLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1053786145
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1902894579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "STE 103-148",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "602-469-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 N 138TH AVE",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85307",
            "telephone_number": "623-536-0332",
            "fax_number": "623-536-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSIA",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Montero, LCSW
• Alex Jacob Christian Moore
• Shelley Morris, WHNP-BC
• Joel A. Morton, D.O
• Caitlin Nelson, PNP-PC/AC
• Sandra L Novak, PSY.D.
• Manuel A Nunez, M.D.
• Catherine Ohrin-Greipp, MSW, LCSW, BCD
• Curtis Samuel Pacheco, MD
• Cynthia Page

• Optometrist in Luke Afb, AZ
• Providers in Luke Afb, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.