Provider Demographics
NPI:1396736617
Name:MESSNER, DANIEL KENT (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KENT
Last Name:MESSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2927
Mailing Address - Country:US
Mailing Address - Phone:910-295-2100
Mailing Address - Fax:910-295-3625
Practice Address - Street 1:2170 MIDLAND RD
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-2927
Practice Address - Country:US
Practice Address - Phone:910-295-2100
Practice Address - Fax:910-295-3625
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0030416207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0838883OtherUNITED HEALTHCARE
NC8958715Medicaid
NCFH2000315OtherFIRSTCAROLINACARE
SCQC0048Medicaid
NC180015668OtherRAILROAD MEDICARE
NC51077OtherMEDCOST
NC58715OtherBCBS
NC108391OtherOPTICARE
NC232482OtherMAMSI
NC0838883OtherUNITED HEALTHCARE
C85516Medicare UPIN
NC58715OtherBCBS
NC232482OtherMAMSI