Organization
DANIEL C. DROUGHT O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C DROUGHT O.D. (OWNER)
(440) 466-4661
Entity
Organization
Contact information
Practice address
895 S BROADWAY, GENEVA, OH 44041-9146
(440) 466-4661
(440) 466-3363
Mailing address
PO BOX 389, GENEVA, OH 44041-0389
(440) 466-4661
(440) 466-3363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4017/T415
OH
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138384
BLUE CROSS BLUE SHIELD
OH
01
—
2377231
AETNA
OH
Enumeration date
02/22/2008
Last updated
07/26/2010
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