Individual
DR. DANIEL JOSEPH VIDLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1022 NW 6TH STREET, GRANTS PASS, OR 97526
(541) 476-4545
Mailing address
1022 NW 6TH STREET, GRANTS PASS, OR 97526
(541) 476-4545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2643ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150462
—
OR
01
—
2643ATI
STATE LICENSE
OR
Enumeration date
10/03/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us