Provider Demographics
NPI:1548394778
Name:DOI, DARYL ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:ANTHONY
Last Name:DOI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:SAN JOAQUIN
Mailing Address - State:CA
Mailing Address - Zip Code:93660-0737
Mailing Address - Country:US
Mailing Address - Phone:559-846-5252
Mailing Address - Fax:559-846-5511
Practice Address - Street 1:942 S. MADERA AVE.
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630
Practice Address - Country:US
Practice Address - Phone:559-364-2980
Practice Address - Fax:559-846-9157
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9233T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC053875FMedicaid
CAFHC053875FMedicaid