Individual
DR. DANIEL WAYNE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
70 N MAIN ST, SUITE 102, BOUNTIFUL, UT 84010-6101
(801) 292-1408
(801) 292-1966
Mailing address
70 N MAIN ST, SUITE 102, BOUNTIFUL, UT 84010-6101
(801) 292-1408
(801) 292-1966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4753319-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
4753319-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47533199901001
BLUE CROSS BLUE SHIELD
UT
01
—
QM0000041790
ALTIUS HEALTH PLANS
UT
Enumeration date
07/21/2006
Last updated
09/11/2025
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