Daniela Minnis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3554ATI Issued in OR

Practice address

901 NW Carlon Ave
Bend, OR 97703-2636

Phone

(541) 382-3242

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jenna McBride OD LLCGroup PAC ID 6901267442, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oregon Optometry and Contact Lenses LLC

  • Optometrist
  • Tigard, OR
  • NPI 1104500651
  Medicare reassignment Care Compare group NPD
• Wayne L Gerig OD

  • Optometrist
  • Tigard, OR
  • NPI 1679744148
  NPD
• Lifetime Vision Care

  • Optometrist
  • Bend, OR
  • NPI 1508961731
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1962787010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21049 DESERT WOODS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022840",
            "telephone_number": "541-550-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "541-382-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNIS",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3554ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Millsap, CSFA
• Mind Health Consulting LLC
• Angelina Mingus, RN
• Kelley Ray Mingus, D.M.D
• Sharyn Elaine Minnick
• Daniel Mark Minter, PA
• Angela Marie Mion, OTR/L
• Maryam Mirahmadi
• Marjon Mirbaha, L.AC.
• Mirror Pond Counseling LLC

• Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.