Individual
DR. DANIEL R. FRESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1730 W 25TH ST STE 3000, CLEVELAND, OH 44113-3108
(216) 771-8311
(216) 771-7450
Mailing address
2012 W 25TH ST LBBY 1, CLEVELAND, OH 44113-4131
(216) 771-8311
(216) 771-7450
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3347 T 441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489690
—
OH
01
—
341537548026
CARE SOURCE
OH
Enumeration date
07/09/2006
Last updated
02/07/2025
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