Individual
TODD GEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 676-7103
Mailing address
350 N CLYDE MORRIS BLVD STE 210, DAYTONA BEACH, FL 32114-2733
(386) 676-7103
Taxonomy
Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
ME0073913
FL
207W00000X
Ophthalmology Physician
Primary
ME0073913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42559
BCBS
FL
Enumeration date
02/21/2006
Last updated
06/02/2023
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