Provider Demographics
NPI:1255474482
Name:DROUGHT, DANIEL C (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:DROUGHT
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:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-0389
Mailing Address - Country:US
Mailing Address - Phone:440-466-4661
Mailing Address - Fax:440-466-3363
Practice Address - Street 1:895 S BROADWAY
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-9146
Practice Address - Country:US
Practice Address - Phone:440-466-4661
Practice Address - Fax:440-466-3363
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4017 T415152WX0102X
OH4017/T415152W00000X, 152WC0802X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34 1776888OtherPYRAMID
OH341776888001OtherMEDICAL MUTUAL
OH57052OtherWORKERS COMPENSATIONS
OH000000138384OtherBLUE CROSS BLUE SHIELD
OH34 1776888OtherCENTRAL BENEFITS
OH34 1776888OtherPRINCIPAL
OH34 1776888OtherUNITED FOOD
OH2377231OtherAETNA
OH34 1776888OtherAARP
OH34 1776888OtherCIGNA
OH34 1776888OtherBRICKLAYERS
OH34 1776888OtherHM BENEFITS
OH34 1776888OtherCARPENTERS
OH34 1776888OtherMUTUAL OF OMAHA
OH34 1776888OtherHEALTH DESIGN PLUS
OH34 1776888OtherSTATE FARM
OH34 1776888OtherMUTUAL OF OMAHA