Daryl Lee Condon in Statesboro - Optometrist

Daryl Lee Condon - NPI 1861408817

Daryl Lee Condon is a Optometrist in Statesboro, Georgia. Daryl Lee Condon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daryl Lee Condon is 1861408817. The last update date is 2021-11-18.

Daryl Lee Condon's current location address is 1014 Northside Dr E Ste E, Statesboro, Georgia. You can contact this provider via phone number 9127649147 and fax number 9127643250. The mailing address for Daryl Lee Condon is 1014 Northside Dr E Ste E, Statesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Daryl Lee Condon
Address 1014 Northside Dr E Ste E, Statesboro, Georgia
Phone Number 9127649147
Fax Number 9127643250
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1861408817
Provider Enumeration Date 2006-07-31
Last Updated Date 2021-11-18

Provider Mailing Address Detail

Address 1014 Northside Dr E Ste E
City Statesboro
State Georgia (GA)
Post Code 304581002
Phone Number 9127649147
Fax Number 9127643250

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 046-008433
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3208237 IL BC/BS OF IL

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FAQs about Daryl Lee Condon

What is the unique provider identifier assigned to Daryl Lee Condon?

The Daryl Lee Condon has been issued the NPI (National Provider Identifier) 1861408817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Daryl Lee Condon is physically located?

The Daryl Lee Condon is physically situated at the following address: 1014 Northside Dr E Ste E, Statesboro, GA, 304581002.

What is Daryl Lee Condon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Daryl Lee Condon's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Daryl Lee Condon receive its 1861408817 assignment from the Centers for Medicare & Medicaid Services?

The Daryl Lee Condon was assigned its 1861408817 by the Centers for Medicare & Medicaid Services on 2006-07-31.

When was the information pertaining to Daryl Lee Condon most recently updated or revised?

The details related to Daryl Lee Condon, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-18.

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