Provider Demographics
NPI:1023327871
Name:DANIELLE RIES, O.D., L.L.C.
Entity type:Organization
Organization Name:DANIELLE RIES, O.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-580-5060
Mailing Address - Street 1:2213 OKOBOJI AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:IA
Mailing Address - Zip Code:51351-1275
Mailing Address - Country:US
Mailing Address - Phone:712-338-7000
Mailing Address - Fax:888-972-4811
Practice Address - Street 1:2213 OKOBOJI AVENUE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:IA
Practice Address - Zip Code:51351-1275
Practice Address - Country:US
Practice Address - Phone:712-338-7000
Practice Address - Fax:888-972-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002490152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty