Organization
DANIEL D DAVID
Active
Other names
Family Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D DAVID O.D. (OWNER)
(509) 334-3300
Entity
Organization
Contact information
Practice address
560 SE BISHOP BLVD, PULLMAN, WA 99163-5505
(509) 334-3300
(509) 334-7591
Mailing address
560 SE BISHOP BLVD, PULLMAN, WA 99163-5505
(509) 334-3300
(509) 334-7591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096751
LABOR & INDUSTRIES
WA
01
—
00010015358
ASURIS NORTHWEST HEALTH PLAN
WA
01
—
000301793
MEDICARE ID-TYPE UNSPECIFIED
WA
01
—
000503341
AETNA
WA
05
—
2005718
—
WA
01
—
3506831
CIGNA
WA
01
—
DAVDN5371457713
PREMERA BLUE CROSS
WA
Enumeration date
12/15/2010
Last updated
02/01/2011
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