DANIEL POTH, O.D. AND ASSOCIATES, P.C. (NPI# 1003998501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003998501 |
Entity Type | Organization |
Organization Name | DANIEL POTH, O.D. AND ASSOCIATES, P.C. |
Other Organization Name | VISIONWORKS DOCTORS OF OPTOMETRY |
Practice Address |
8424 Old Keene Mill Road Springfield VA 22152 |
Mailing Address |
Po Box 842375 Dallas TX 75284-2375 |
Practice Telephone | 7035696611 |
Practice Fax Number | 7035696618 |
Mailing Telephone | 2105246663 |
Mailing Fax Number | 2105246587 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2013-08-09 |
Authorized Official Name | DAN POTH (OWNER) |
Authorized Official Telephone | 7032881978 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 9280049 | 05 |
Other Name | Type Code |
---|---|
Visionworks Doctors of Optometry | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083915110 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 1607 Village Market Blvd Se, Suite 124, Leesburg, VA 20175-4667 | 2010-11-05 |
1548342090 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 8125 Sudley Road, Manassas, VA 20109 | 2006-10-20 |
1477635936 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 11130l S Lakes Dr, Reston, VA 20191-4327 | 2006-10-20 |
1285717785 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 1841 Fountain Drive, Reston, VA 20191 | 2006-10-20 |
1457434961 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 21031 Triple Seven Road, Suite 170, Sterling, VA 20165 | 2006-10-20 |
1225110778 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 2700 Potomac Mill Circle, Suite 105, Prince William, VA 22192 | 2006-10-20 |
1093897050 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 5801 Duke St, Suite E128, Alexandria, VA 22304-3208 | 2006-10-19 |
1316037559 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 11903l Lee Jackson Memorial Hwy, Suite G133, Fairfax, VA 22033 | 2006-10-16 |
1063454460 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 7702 Richmond Hwy, Suite H, Alexandria, VA 22306-2803 | 2006-06-11 |
1548344609 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 8359 Leesburg Pike, Vienna, VA 22182 | 2006-10-25 |
Street Address |
8424 OLD KEENE MILL ROAD |
City | SPRINGFIELD |
State | VA |
Zip Code | 22152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
1023533650 | Megan H Morrow | Dentist | 5803 Rolling Rd Ste 211, Springfield, VA 22152 | 2017-08-04 |
1851815179 | Samantha Apoh | Registered Nurse | 6031 Sweet Oak Ct, Springfield, VA 22152 | 2017-07-28 |
1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
1114303450 | Catherine L Kestle | Social Worker | 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 | 2015-08-10 |
1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
1063751295 | Rapfhel Adebowale Adenola | Nurse's Aide | 7541 Boston Blvd, Springfield, VA 22152 | 2013-02-07 |
1669742706 | Selamawit Harar | Pharmacist | 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 | 2012-01-06 |
1275822116 | Elizabeth Diane Reed | Social Worker | 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 | 2011-03-31 |
Find all providers in zip 22152 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174074140 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 White Oaks Mall, Springfield, IL 62704-0501 | 2016-10-14 |
1063962017 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 2806 Sw Plaza Dr, Springfield, IL 62704-6743 | 2016-10-13 |
1912456898 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1250 Baltimore Pike & Sproul Rd, Springfield, PA 19064-2706 | 2016-10-03 |
1518390525 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1006 Baltimore Pike, Store #n-8, Springfield, PA 19064-2836 | 2013-08-13 |
1528382256 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 104 White Oaks Mall, Springfield, IL 62704-6946 | 2010-03-24 |
1043457542 | Rlw, Inc. | Eyewear Supplier (Equipment, not the service) | 1850 S Glenstone Ave, Springfield, MO 65804-2303 | 2009-01-21 |
1285821066 | Vision Service Corporation | Eyewear Supplier (Equipment, not the service) | 2051 N Bechtle Ave Ste 130, Springfield, OH 45504-1583 | 2007-09-26 |
1316138266 | Ozarks Optical Laboratories, Inc. | Eyewear Supplier (Equipment, not the service) | 1845 W Arbor Ct, Springfield, MO 65807-5956 | 2007-08-06 |
1669663670 | 21st Century Optics Inc. | Eyewear Supplier (Equipment, not the service) | 53 Brown Ave, Springfield, NJ 07081-2901 | 2007-08-05 |
1184744310 | Springfield Mall Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6795 Springfield Mall, Springfield, VA 22150-1704 | 2007-03-30 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 22152 |
Please comment or provide details below to improve the information on DANIEL POTH, O.D. AND ASSOCIATES, P.C..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.