Organization
DANIEL R FRESON OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. FRESON OD (PRESIDENT)
(216) 771-8311
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 771-8311
(216) 771-7450
Mailing address
2012 W 25TH ST, ROOM 1, CLEVELAND, OH 44113-4135
(216) 771-8311
(216) 771-7450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH3347T441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489690
—
OH
Enumeration date
04/06/2007
Last updated
02/07/2025
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