NPI Details
DR. Daniel G Balcueva, O.D. is an optometrist in Troy, MI with 14 years of experience. The provider is 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. DR. Daniel G Balcueva, O.D. NPI is 1659636017. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year:2012
The provider's business location address is:
735 JOHN R RD
TROY, MI
ZIP 48083-856
Phone: (248) 544-3290
Fax: (248) 528-4040
The NPI 1659636017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The CLIA number assigned to this NPI record is 23D2190484 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient complete exam of visual system (HCPCS:92014)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
The enumeration date for this NPI number is 7/11/2012 and was last updated on 9/15/2015.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | 18003721 | INDIANA | No |
| 2 | 152W00000X | Optometrist | | 4901004830 | MICHIGAN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 411610001 | MEDICARE PIN | INDIANA | |
| 2 | M30440119 | MEDICARE PIN | MICHIGAN | |
| 3 | 1659636017 | MEDICAID | MICHIGAN | |
| 4 | 201202570 | MEDICAID | INDIANA | |
