Provider Demographics
NPI:1700117165
Name:MILAD DAOUD OD
Entity Type:Organization
Organization Name:MILAD DAOUD OD
Other - Org Name:DAOUD EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAOUD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-861-4177
Mailing Address - Street 1:9173 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3779
Mailing Address - Country:US
Mailing Address - Phone:724-861-4177
Mailing Address - Fax:724-861-9507
Practice Address - Street 1:9173 ROUTE 30
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3779
Practice Address - Country:US
Practice Address - Phone:724-861-4177
Practice Address - Fax:724-861-9507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000526152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015638530008Medicaid
PAU59460Medicare UPIN
PADA824017Medicare PIN