Provider Demographics
NPI:1164710745
Name:PATTERSON, HENRY DANIEL (OD, MS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:DANIEL
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:OD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37333 STATE HIGHWAY 299 E
Mailing Address - Street 2:
Mailing Address - City:BURNEY
Mailing Address - State:CA
Mailing Address - Zip Code:96013-4371
Mailing Address - Country:US
Mailing Address - Phone:530-335-2233
Mailing Address - Fax:530-335-3933
Practice Address - Street 1:37333 STATE HIGHWAY 299 E
Practice Address - Street 2:
Practice Address - City:BURNEY
Practice Address - State:CA
Practice Address - Zip Code:96013-4371
Practice Address - Country:US
Practice Address - Phone:530-335-2233
Practice Address - Fax:530-335-3933
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6063/T2978152W00000X
CA14348152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist