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NPI Code Detail

MEDICARE: DR. DANIEL GENE BINTZ O.D.

MEDICARE: DR. DANIEL GENE BINTZ O.D.
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
1152W00000XOptometrist1071OK

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 : 1033203765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL GENE BINTZ O.D.
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : ELK CITY
State : OK
Zip : 73648-0009
Country : US
Telephone Number : 580-243-1121
Fax Number : 580-243-1145
Provider Business Practice Location Address
First Line : 920 N MAIN ST
Second Line :
City : ELK CITY
State : OK
Zip : 73644-2829
Country : US
Telephone Number : 580-243-1121
Fax Number : 580-243-1145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/05/2024

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