Individual
DR. JOHN PRICE MACDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6157 US ROUTE 20, LA FAYETTE, NY 13084-3404
(315) 677-3193
Mailing address
PO BOX 468, WELLESLEY ISLAND, NY 13640-0468
(315) 243-3048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003469
NY
Other
Enumeration date
07/07/2005
Last updated
08/15/2013
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