MEDICARE: DRS DAY & DAY PC

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	2306TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00E15G	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1164634002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS DAY & DAY PC

Provider Business Mailing Address
First Line	:	3034 BROADWAY BLVD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75041-3732
Country	:	US
Telephone Number	:	972-278-2121
Fax Number	:	972-926-1573

Provider Business Practice Location Address
First Line	:	3034 BROADWAY BLVD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75041-3732
Country	:	US
Telephone Number	:	972-278-2121
Fax Number	:	972-926-1573

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ROBERT E DAY JR.
Credential	:	O.D.
Telephone Number	:	972-278-2121

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	04/20/2008

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Directions to “DRS DAY & DAY PC ” Practice Location

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