MEDICARE: DANIEL C YEAGER

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	156FX1700X	Ocularist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48910	OTHER	IA	BC/BS OF IOWA
2	5100HN	OTHER	IA	JOHN DEERE HEALTH CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376526566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL C YEAGER

Provider Business Mailing Address
First Line	:	2050 KEOKUK ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4551
Country	:	US
Telephone Number	:	319-337-9724
Fax Number	:	319-337-5445

Provider Business Practice Location Address
First Line	:	2050 KEOKUK ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4551
Country	:	US
Telephone Number	:	319-337-9724
Fax Number	:	319-337-5445

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/08/2016

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Directions to “ DANIEL C YEAGER ” Practice Location

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