Provider Demographics
NPI:1336303155
Name:DYE, DARRELL D (OD)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:D
Last Name:DYE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:DUKE
Other - Middle Name:
Other - Last Name:DYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:O D
Mailing Address - Street 1:5628 CARDIN BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7394
Mailing Address - Country:US
Mailing Address - Phone:614-668-9696
Mailing Address - Fax:
Practice Address - Street 1:5180 E MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2436
Practice Address - Country:US
Practice Address - Phone:614-866-9002
Practice Address - Fax:614-866-3581
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5788152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist