Dr. Lance Daniel I
Optometrist
4201 N Shiloh Dr
Fayetteville
, Arkansas 72703-5180
Dr. Lance Daniel I
Optometrist
4201 N Shiloh Dr
Fayetteville
, Arkansas 72703-5180
(501) 388-2020
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Lance Daniel I
- 1100 S Amity Rd Ste A
- Conway, AR
- Zip : 72032-8106
- Phone : (501) 388-2020
Second Address
- Dr. Lance Daniel I
- 4201 N Shiloh Dr
- Fayetteville, AR
- Zip : 72703-5180
- Phone : (479) 444-8704
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2371 | AR |
National Provider Identifier
| NPI | 1003957374 |
|---|---|
| Provider Name | Dr. Lance Daniel I |
| First Address | Conway, AR 72032-8106 |
| Second Address | Fayetteville, AR 72703-5180 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2007 |
| Last Update Date | 15/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 117012722 | (05) | AR |
| 117012722 | OPTOMETRY (01) | AR |
| 710744825 | TAX ID (01) | AR |
| T90729 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.