Individual
DR. IAN D. RADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
551 NATIONAL HEALTH CARE DR, EYE CLINIC, DAYTONA BEACH, FL 32114-1495
(386) 323-7500
Mailing address
713 DELANEY AVE, ORLANDO, FL 32801-3814
(407) 420-7653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
06362T
TX
152W00000X
Optometrist
Primary
OPC3380
FL
Other
Enumeration date
08/08/2006
Last updated
11/07/2011
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