Organization
RICHARD S. DANIEL, O.D., P.A.
Active
Other names
Daniel Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SHAFFER DANIEL O.D. (OWNER)
(910) 864-6070
Entity
Organization
Contact information
Practice address
161 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1521
(910) 864-6070
(910) 864-4036
Mailing address
161 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1521
(910) 864-6070
(910) 864-4036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09220
BLUE CROSS BLUE SHIELD
NC
05
—
8909220
—
NC
Enumeration date
04/16/2008
Last updated
04/20/2008
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