Provider Demographics
NPI:1679562433
Name:DAY, JOSEPH DAYMON (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DAYMON
Last Name:DAY
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 1:2732 E MAIN STE 200
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-3164
Mailing Address - Country:US
Mailing Address - Phone:253-770-2732
Mailing Address - Fax:253-770-1023
Practice Address - Street 1:2732 E MAIN STE 200
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3164
Practice Address - Country:US
Practice Address - Phone:253-770-2732
Practice Address - Fax:253-770-1023
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1704TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2032936Medicaid
WA2032936Medicaid
AB12528Medicare ID - Type Unspecified
WA2032936Medicaid
WA6029120001Medicare NSC