Provider Demographics
NPI:1932186814
Name:ONEIL, DANNY OWEN (OD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:OWEN
Last Name:ONEIL
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 1:17 NORTH MEDICAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939
Mailing Address - Country:US
Mailing Address - Phone:540-213-8449
Mailing Address - Fax:540-213-7481
Practice Address - Street 1:1500 COMMERCE ROAD
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401
Practice Address - Country:US
Practice Address - Phone:540-213-0060
Practice Address - Fax:540-213-9441
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000330152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T21303Medicare UPIN
VA580953459Medicare ID - Type Unspecified