NPI 1003957374

Lance Daniel, OD

Practitioner Optometrist Fayetteville, AR

Practice location

Address: 4201 N Shiloh Dr, Fayetteville, AR 72703-5180
Phone: (479) 444-8704
Mailing address: 1100 S Amity Rd STE a, Conway, AR 72032-8106

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2371 (AR)

Other Optometrist providers in Arkansas →

Registry record

NPI: 1003957374
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2007
Record last updated: 15 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.