Healthcare Provider Details

I. General information

NPI: 1780098806
Provider Name (Legal Business Name): DANIELLE REMINGTON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE LANZER OD

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S COUNTRY CLUB WAY
TEMPE AZ
85282-4054
US

IV. Provider business mailing address

50 MCNAUGHTEN RD SUITE 200
COLUMBUS OH
43213-2120
US

V. Phone/Fax

Practice location:
  • Phone: 480-839-0206
  • Fax: 480-839-0208
Mailing address:
  • Phone: 614-863-3937
  • Fax: 614-863-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6293
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: