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NPI Code Detail

MEDICARE: DR. DANIEL CRAWFORD OD

MEDICARE:  DR. DANIEL  CRAWFORD  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
1152W00000XOptometristOPT.006737OH

General Provider Information

NPI Number : 1336706639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL CRAWFORD OD
Provider Business Mailing Address
First Line : 3235 KENYON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-1809
Country : US
Telephone Number : 614-306-7665
Fax Number :
Provider Business Practice Location Address
First Line : 3235 KENYON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-1809
Country : US
Telephone Number : 614-306-7665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/22/2019

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Directions to “ DR. DANIEL CRAWFORD OD” Practice Location

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