Provider Demographics
NPI:1023559887
Name:DANFORD, VALERIE ROSE (OD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ROSE
Last Name:DANFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:ROSE
Other - Last Name:KORB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:67 HAGGERTY DR
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2278
Practice Address - Country:US
Practice Address - Phone:732-248-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33970152W00000X
OH006623152W00000X
390200000X
NJ27OA00709000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program