DR. DENVER JOSEPH MCDANIEL (NPI# 1760610265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760610265 |
| Entity Type | Individual |
| Full Name | DR. DENVER JOSEPH MCDANIEL |
| Credential | O.D. |
| Practice Address |
1105 S College Mall Rd Bloomington IN 47401-6177 |
| Mailing Address |
744 E 3rd St Room 128 Bloomington IN 47405-3603 |
| Practice Telephone | 8123332020 |
| Practice Fax Number | 8123342020 |
| Mailing Telephone | 8128565602 |
| Mailing Fax Number | 8128556116 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4901004616 | MI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 18003600 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200945160 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 E 3rd St, Bloomington, IN 474053603 | 8128558436 | 8128551683 |
| Street Address |
1105 S COLLEGE MALL RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-6177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936698 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2019-01-11 |
| 1326368861 | Hoosier Eye Doctor Inc | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| 1922206036 | Keith F Tyler | Optometrist | 2105 W 80 1/2 St Ste C, Bloomington, MN 55431-1493 | 2007-07-10 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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| 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.