Organization
DANIELS OPTOMETRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA BANKS DANIEL O.D. (SOLE MEMBER)
(334) 398-3384
Entity
Organization
Contact information
Practice address
2080 BERRYHILL RD, MONTGOMERY, AL 36117-3599
(334) 387-2020
(334) 387-2019
Mailing address
8671 TARA LN, AUBURN, AL 36830-8242
(334) 387-2020
(334) 387-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-827-TA-355
AL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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