Provider Demographics
NPI:1972891620
Name:BARTHOLOMEW, DANIELLE S (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:S
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:B
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6357 N HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1590
Mailing Address - Country:US
Mailing Address - Phone:614-939-1600
Mailing Address - Fax:614-939-0585
Practice Address - Street 1:6357 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1590
Practice Address - Country:US
Practice Address - Phone:614-939-1600
Practice Address - Fax:614-939-0585
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6071152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH103061Medicare UPIN