MEDICARE: DR. DANA LYDELL DAY O.D.

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	260T	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780689067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA LYDELL DAY O.D.

Provider Business Mailing Address
First Line	:	301 S FENWAY ST
Second Line	:	STE 102
City	:	CASPER
State	:	WY
Zip	:	82601-3049
Country	:	US
Telephone Number	:	307-235-5384
Fax Number	:	307-265-7500

Provider Business Practice Location Address
First Line	:	301 S FENWAY ST
Second Line	:	STE 102
City	:	CASPER
State	:	WY
Zip	:	82601-3049
Country	:	US
Telephone Number	:	307-235-5384
Fax Number	:	307-265-7500

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/02/2007

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