MEDICARE: DANIEL WARREN SPEER

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	3392	TN

General Provider Information

NPI Number	:	1205359627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WARREN SPEER

Provider Business Mailing Address
First Line	:	1515 DEMONBREUN ST.
Second Line	:	APT 1114
City	:	NASHVILLE
State	:	TN
Zip	:	37203
Country	:	US
Telephone Number	:	270-302-9464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3904 HILLSBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215
Country	:	US
Telephone Number	:	615-292-2040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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Directions to “ DANIEL WARREN SPEER ” Practice Location

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