Individual provider Active NPI

Daniel Glen Wright, OD

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1942466057
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1650 Issued in AZ
Practice address
2950 N Dobson Rd Ste 11
Chandler, AZ 85224-1824
Phone
(480) 963-8833
Fax
(480) 963-3766
NPI assigned
Jul 29, 2008
Last updated
Sep 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1650 AZ Primary
Optometrist 152W00000X ODP-100172 ID
Vision Therapy Optometrist 152WV0400X 1650 AZ

Addresses

Primary practice location

2950 N Dobson Rd Ste 11
Chandler, AZ 85224-1824

Mailing address

2950 N Dobson Rd Ste 11
Chandler, AZ 85224-1824
Phone (480) 963-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090602000652 AZ Practitioner - Optometry 5294885836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100172IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometry, P.C. Vision Therapy CurrentSince Apr 24, 2011 Accepting new patients

Locations

2950 N Dobson Rd
Chandler, AZ 85224
Phone (480) 963-8833

2950 N Dobson Rd
Ste 11
Chandler, AZ 85224
Phone (480) 963-8833

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1942466057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241824",
            "telephone_number": "480-963-8833",
            "fax_number": "480-963-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241824",
            "telephone_number": "480-963-8833",
            "fax_number": "480-963-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DANIEL",
        "middle_name": "GLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1650",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100172",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "1650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.