Individual
DANIEL MARSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4100 W 3RD ST, 112E OPTOMETRY, DAYTON, OH 45428-9000
(248) 701-5878
Mailing address
425 DAYTON TOWERS DR APT 6J, DAYTON, OH 45410-1125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004870
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004870
MI
152WL0500X
Low Vision Rehabilitation Optometrist
4901004870
MI
152WS0006X
Sports Vision Optometrist
4901004870
MI
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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