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General NPI Number Information
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NPI Number | 1598871048
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Entity Type | Individual
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Provider Name | DANIEL R MCINTOSH
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3840 BELFORT RD STE 105
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6202
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Country | US
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Telephone | 904-737-1975
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Fax | 904-737-1977
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Provider Business Mailing Address
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Address Line | 3840 BELFORT RD STE 105
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6202
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Country | US
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Telephone | 904-737-1975
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Fax | 904-737-1977
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | FLOPC3198
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | FLOPC3198
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | FLOPC3198
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | FLOPC3198
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | FLOPC3198
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number | FLOPC3198
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License Number State | FL
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