DR. DANIEL PRIDEMORE, O.D.
Optometrist
Active
Individual
NPI: 1104189877
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 3270-35 (WI) |
Frequently Asked Questions
NPI 1104189877 is the National Provider Identifier for DR. DANIEL PRIDEMORE, O.D., a Optometrist provider located in West Allis, WI. This NPI was enumerated on June 19, 2012.
DR. DANIEL PRIDEMORE, O.D. practices at 2761 S 108TH ST, West Allis, WI 53227.
Quick Facts
- NPI
- 1104189877
- Type
- Individual
- Enumerated
- Jun 19, 2012
- Last Updated
- Jun 19, 2012
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