Provider Demographics
NPI:1659440345
Name:DANIELS, ERROL S (OD)
Entity Type:Individual
Prefix:DR
First Name:ERROL
Middle Name:S
Last Name:DANIELS
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 1:6333 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5800
Mailing Address - Country:US
Mailing Address - Phone:716-632-3545
Mailing Address - Fax:716-632-6368
Practice Address - Street 1:6333 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5800
Practice Address - Country:US
Practice Address - Phone:716-632-3545
Practice Address - Fax:716-632-6368
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY2811152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY390031002OtherBLUE CROSS BLUE SHIELD
NY00040348802OtherUNIVERA
NY19920OtherNVA
NY7290267OtherINDEPENDENT HEALTH
NYNY2811OtherEYEMED
NYU27644Medicare UPIN