Provider Demographics
NPI:1235369778
Name:MCATEE, DANIELLE LINN (OD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LINN
Last Name:MCATEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 S RANGE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-3537
Mailing Address - Country:US
Mailing Address - Phone:785-462-8231
Mailing Address - Fax:785-462-2307
Practice Address - Street 1:498 15TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1624
Practice Address - Country:US
Practice Address - Phone:719-346-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1843152W00000X
CO2753152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200614130AMedicaid
P00736018OtherRAILROAD MEDICARE
CO481130201006OtherROCKY MOUNTAIN HEALTH PLANS
CO64227570Medicaid
COCO306186Medicare PIN
KS200614130AMedicaid