Individual
DR. DANIEL BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3271 E QUEEN CREEK RD STE 107, GILBERT, AZ 85297-8511
(480) 892-3937
(480) 892-3939
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2197
AZ
152W00000X
Optometrist
2878
OK
152W00000X
Optometrist
Primary
OPT-002197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284528
—
AZ
Enumeration date
09/01/2016
Last updated
03/23/2026
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