DANIELLE FAYE WARREN TEEL (NPI# 1770605073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770605073 |
| Entity Type | Individual |
| Full Name | DANIELLE FAYE WARREN TEEL |
| Other Name | DANIELLE FAYE WARREN |
| Credential | O.D. |
| Practice Address |
5110 Value Dr Fort Wayne IN 46808-4048 |
| Mailing Address |
1521 Waxwing Ct Fort Wayne IN 46814-8720 |
| Practice Telephone | 2604811115 |
| Practice Fax Number | 2604811116 |
| Mailing Telephone | 2604811115 |
| Mailing Fax Number | 2604811116 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003315A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000825523 | 01 |
| Street Address |
5110 VALUE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245789825 | Josh Winebaugh | Pharmacist | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2016-09-23 |
| 1205202363 | Christopher L Vice | Pharmacist | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2015-08-12 |
| 1508251877 | Costco Wholesale Corporation | Hearing Aid Equipment | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2015-04-02 |
| 1477944510 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2015-02-11 |
| 1740682152 | Travis Plumley | Pharmacist | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2014-09-17 |
| 1730504648 | Angela Fanning | Pharmacist | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2014-02-28 |
| 1982043691 | Teel Family Eye Care | Optometrist | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2013-06-17 |
| 1548608821 | Costco Wholesale Corporation | Pharmacy | 5110 Value Dr, Fort Wayne, IN 46808 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| 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 |
|---|---|---|---|---|
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1043737737 | Eyecare Express | Optometrist | 4826 Illinois Rd, Fort Wayne, IN 46804-1166 | 2017-08-24 |
| 1760906135 | Brittany Hoolsema | Optometrist | 2121 Lake Ave # 112b, Fort Wayne, IN 46805-5100 | 2017-07-27 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1083003008 | Midwest Eye Consultants, P.C. | Optometrist | 1601 E Paulding Rd, Fort Wayne, IN 46816-1204 | 2015-01-14 |
| 1437494143 | Fort Wayne Vision Associates Ltd | Optometrist | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2012-12-06 |
| 1033453220 | Daniel & Max | Optometrist | 409 E Coliseum Blvd, Fort Wayne, IN 46805-1004 | 2012-11-12 |
| 1205114006 | Ryan Feichtner | Optometrist | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2011-07-27 |
| 1760786503 | C J Pataluch Od PC | Optometrist | 5659 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-01-10 |
| 1841436532 | James H Pennington Od | Optometrist | 6421 Georgetown North Blvd, Fort Wayne, IN 46815-7007 | 2008-12-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
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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.