Individual
DR. DAN EUGENE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1494
SC
152W00000X
Optometrist
Primary
OD 0000000546
TN
152W00000X
Optometrist
OPT 001596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491456241A
—
GA
Enumeration date
09/13/2006
Last updated
10/06/2011
Update your record
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