Ian D. Raden O.D.

NPI 1083624878 - Optometrist - 152W00000X

NPI Details
NPI 1083624878
Gender Male
Enumeration Date 08/08/2006
Last Updated 11/07/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
551 NATIONAL HEALTH CARE DR
EYE CLINIC
DAYTONA BEACH FL, 32114-1495, US
Phone (386) 323-7500
Fax
Business Location
713 DELANEY AVE
ORLANDO FL, 32801-3814, US
Phone (407) 420-7653
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 06362T
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According to our database, Dr. Ian D. Raden O.D. NPI is 1083624878, taxonomy code is 152W00000X and license number is 06362T, license state is located at Texas. Ian D. Raden O.D. physically located at 551 National Health Care Dr, Daytona Beach FL, 32114-1495. NPI Number Ian D. Raden O.D. has the Individual type.

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1083624878 NPI number is provided on an as is basis without warranty of any kind. 1083624878 is maintained by the National Plan & Provider Enumeration System. The contents of Ian D. Raden O.D. are for informational purposes only.