| Jawad Daniel, OD | |
|
767 Lexington Ave, New York, NY 10065-8553 | |
| (212) 751-6652 | |
| Not Available |
| Full Name | Jawad Daniel |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 767 Lexington Ave, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841605730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618002339 (Virginia) | Secondary |
| 152W00000X | Optometrist | TUV008735 (New York) | Primary |
| Provider Name | Loudoun Medical Group, PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Jawad Daniel, OD 400 Westhampton Sta, Richmond, VA 23226-3330 Ph: (804) 287-4200 | Jawad Daniel, OD 767 Lexington Ave, New York, NY 10065-8553 Ph: (212) 751-6652 |
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