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NPI Code Detail

MEDICARE: DR. SANDRA VICTOR DAOUD OD

MEDICARE: DR. SANDRA VICTOR DAOUD OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4299MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235282377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA VICTOR DAOUD OD
Provider Business Mailing Address
First Line : 95 WASHINGTON ST
Second Line : STE 466
City : CANTON
State : MA
Zip : 02021-4008
Country : US
Telephone Number : 781-821-1224
Fax Number : 877-992-0275
Provider Business Practice Location Address
First Line : 95 WASHINGTON ST
Second Line : STE 466
City : CANTON
State : MA
Zip : 02021-4008
Country : US
Telephone Number : 781-821-1224
Fax Number : 877-992-0275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2007
Last Update Date : 11/19/2018

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Directions to “ DR. SANDRA VICTOR DAOUD OD” Practice Location

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