Individual
DR. DANIEL P CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
PEARLE VISION, 1056 BURNSVILLE CENTER, BURNSVILLE, MN 55306-6301
(952) 435-8821
(952) 435-1624
Mailing address
PEARLE VISION, 1056 BURNSVILLE CENTER, BURNSVILLE, MN 55306-6301
(952) 435-8821
(952) 435-1624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2654
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290205200
—
MN
01
—
6C439CL
BLUE CROSS BLUE SHIELD MN
MN
01
—
918988
EYE MED / COLE VISION
MN
Enumeration date
02/08/2006
Last updated
10/18/2016
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