Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Daniel Carl Pridemore, O.D.
Optometrist in West Allis, WI · enumerated 2012.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104189877
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Registry record
Entity type Individual (Type 1)
Name Dr. Daniel Carl Pridemore
Credential O.D.
Sex Male
Practice address 2761 S 108th St, West Allis, WI, 53227
Phone (414) 321-2425
Fax (414) 321-4647
Enumeration date Jun 19, 2012
Last updated in NPPES Jun 19, 2012
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020677066 | Medicaid | WI | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104189877 active?
Yes, as of the latest NPPES snapshot, NPI 1104189877 is active (record last updated 2012-06-19).
How do I verify Daniel Pridemore's NPI record?
Cross-check NPI 1104189877 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-19.