Healthcare Provider Details

I. General information

NPI: 1235369778
Provider Name (Legal Business Name): DANIELLE LINN MCATEE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 12/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 15TH ST
BURLINGTON CO
80807-1624
US

IV. Provider business mailing address

1005 S RANGE AVE STE 100
COLBY KS
67701-3537
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-8415
  • Fax:
Mailing address:
  • Phone: 785-462-8231
  • Fax: 785-462-2307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1843
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2753
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: