Organization
DANIEL HEDLUND O. D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE HEDLUND O. D. (OWNER)
(814) 868-0895
Entity
Organization
Contact information
Practice address
1344 W 38TH ST, ERIE, PA 16508-2462
(814) 868-0895
(814) 868-0896
Mailing address
1344 W 38TH ST, ERIE, PA 16508-2462
(814) 868-0895
(814) 868-0896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000644
PA
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130230001
AFTER CATERACT SURGERY
PA
01
—
208918
UPMC
PA
01
—
223758
EYEMED
PA
01
—
391867
NVA
PA
01
—
96123
HEALTH AMERICA
PA
01
—
P00100699
MEDICARE RAILROAD
PA
01
—
PA06024
VISION BENEFITS OF AMERIC
PA
Enumeration date
03/30/2007
Last updated
02/21/2008
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