Provider Demographics
NPI:1043282031
Name:KUHL, DANA E (OD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:E
Last Name:KUHL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 MONTCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1016
Mailing Address - Country:US
Mailing Address - Phone:864-877-2304
Mailing Address - Fax:864-638-9979
Practice Address - Street 1:105 N EARLE ST
Practice Address - Street 2:
Practice Address - City:WALHALLA
Practice Address - State:SC
Practice Address - Zip Code:29691-2419
Practice Address - Country:US
Practice Address - Phone:864-638-9505
Practice Address - Fax:864-638-9979
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0804152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD00804Medicaid
SCD00804Medicaid
SCT23564Medicare UPIN