Provider Demographics
NPI:1790984672
Name:PRESS, DANIEL JOSHUA (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSHUA
Last Name:PRESS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:303 N NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3366
Mailing Address - Country:US
Mailing Address - Phone:847-823-8283
Mailing Address - Fax:847-823-1099
Practice Address - Street 1:303 N NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3366
Practice Address - Country:US
Practice Address - Phone:847-823-8283
Practice Address - Fax:847-823-1099
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010530152WP0200X, 152WV0400X, 152WS0006X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152W00000XEye and Vision Services ProvidersOptometrist