Provider Demographics
NPI:1275684557
Name:UZL, DANIEL JOHN (OD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN
Last Name:UZL
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 1:6901 ROCKSIDE RD
Mailing Address - Street 2:PERFORMANCE VISION CARE
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2348
Mailing Address - Country:US
Mailing Address - Phone:216-525-0740
Mailing Address - Fax:216-525-0750
Practice Address - Street 1:6901 ROCKSIDE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2379
Practice Address - Country:US
Practice Address - Phone:216-525-0740
Practice Address - Fax:216-525-0750
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU90744Medicare UPIN