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NPI Code Detail

MEDICARE: MRS. CHELSEA DAYTON OD

MEDICARE: MRS. CHELSEA DAYTON OD
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
1152W00000XOptometristTA2461MD

General Provider Information

NPI Number : 1285019109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHELSEA DAYTON OD
Provider Business Mailing Address
First Line : 220 CHAMPION DR
Second Line : SUITE 100
City : HAGERSTOWN
State : MD
Zip : 21740-6665
Country : US
Telephone Number : 301-791-0888
Fax Number : 301-761-3611
Provider Business Practice Location Address
First Line : 220 CHAMPION DR
Second Line : SUITE 100
City : HAGERSTOWN
State : MD
Zip : 21740-6665
Country : US
Telephone Number : 301-791-0888
Fax Number : 301-761-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 02/13/2019

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