Individual
DR. TERRY E DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
295 HIGH ST, BEREA, OH 44017-1833
(440) 234-3800
(440) 234-2318
Mailing address
295 HIGH ST, BEREA, OH 44017-1833
(440) 234-3800
(440) 234-2318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2940/T399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02855-00002
DMERC
OH
01
—
11313346
CAQH
OH
Enumeration date
06/05/2006
Last updated
08/14/2013
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