1255474482 NPI number — DR. DANIEL C DROUGHT O.D.

Table of content: DR. DANIEL C DROUGHT O.D. (NPI 1255474482)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255474482 NPI number — DR. DANIEL C DROUGHT O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DROUGHT
Provider First Name:
DANIEL
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255474482
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 389
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GENEVA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44041-0389
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-466-4661
Provider Business Mailing Address Fax Number:
440-466-3363

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
895 S BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GENEVA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44041-9146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-466-4661
Provider Business Practice Location Address Fax Number:
440-466-3363
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152WC0802X , with the licence number:  4017/T415 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WL0500X , with the licence number: 4017/T415 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WX0102X , with the licence number: 4017 T415 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 4017/T415 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000138384 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "CENTRAL BENEFITS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2377231 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "AARP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "MUTUAL OF OMAHA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "UNITED FOOD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "PRINCIPAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "HM BENEFITS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "HEALTH DESIGN PLUS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "CARPENTERS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "PYRAMID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "BRICKLAYERS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34 1776888 . This is a "STATE FARM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 57052 . This is a "WORKERS COMPENSATIONS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 341776888001 . This is a "MEDICAL MUTUAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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