Provider Demographics
NPI:1679829030
Name:BARAN, DANIELLE (OD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BARAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9170 ROUTE 108 STE 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1988
Mailing Address - Country:US
Mailing Address - Phone:410-442-6465
Mailing Address - Fax:410-442-6465
Practice Address - Street 1:9170 ROUTE 108 STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1988
Practice Address - Country:US
Practice Address - Phone:410-442-6465
Practice Address - Fax:410-442-6465
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2303152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist