Individual
DR. DALE EDWIN MCNIEL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601000923
VA
152W00000X
Optometrist
Primary
1972
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28684
SPECTERA
TN
01
—
35283
AVESIS
TN
01
—
35303
AVESIS
TN
01
—
4119586
BLUE CROSS BLUE SHIELD TN
TN
01
—
41480
SPECTERA
TN
01
—
53876
DAVIS VISION
TN
01
—
53878
DAVIS VISION
TN
01
—
553234
NVA
TN
01
—
925092
BLOCK VISION
TN
Enumeration date
01/08/2007
Last updated
07/09/2007
Update your record
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