Dr. Denver Joseph McDaniel, O.D.
Optometrist in Bloomington, IN. Individual provider (NPI-1).
NPI number1760610265
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1760610265
- Entity type
- Individual (NPI-1)
- Name
- Dr. Denver Joseph McDaniel
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2009
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18003600 | IN | Yes |
| 152W00000X | Optometrist | 4901004616 | MI |
Practice location
4719 W State Road 46Bloomington, IN 47404-9518
Phone 812-876-2020 · Fax 812-935-2020
Mailing address
744 E 3rd StRoom 128
Bloomington, IN 47405-3603
Phone 812-856-5602 · Fax 812-855-6116
Other practice locations
744 E 3rd St
Bloomington, IN 47405-3603
Bloomington, IN 47405-3603
Phone 812-855-8436 · Fax 812-855-1683
1105 S College Mall Rd
Bloomington, IN 47401-6177
Bloomington, IN 47401-6177
Phone 812-333-2020 · Fax 812-334-2020
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