Individual
DR. TERRY E DANIEL
Active
Individual
DR. TERRY E DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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