MEDICARE: DR. ELIZABETH DAY OD, MS

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
1	152W00000X	Optometrist	OPT.006746	OH

General Provider Information

NPI Number	:	1568133726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH DAY OD, MS

Provider Business Mailing Address
First Line	:	416 W UNION ST
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2328
Country	:	US
Telephone Number	:	740-594-2271
Fax Number	:	740-594-2270

Provider Business Practice Location Address
First Line	:	416 W UNION ST
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2328
Country	:	US
Telephone Number	:	740-594-2271
Fax Number	:	740-594-2270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	04/17/2023

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