Individual
DANIEL L HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
195 S 36TH ST, QUINCY, IL 62301-5801
(217) 224-7732
(217) 214-9437
Mailing address
195 S 36TH ST, QUINCY, IL 62301-5801
(217) 224-7732
(217) 224-4468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009104
—
IL
01
—
121397
BLUE CROSS/SHIELD OF IL
IL
01
—
166876
HEALTHLINK
IL
05
—
315345405
—
MO
01
—
49314
HEALTH ALLIANCE
IL
Enumeration date
05/08/2006
Last updated
01/02/2010
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