Provider Demographics
NPI:1932278264
Name:JEFFREY D. DAILEY, O.D., LLC
Entity type:Organization
Organization Name:JEFFREY D. DAILEY, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-422-1615
Mailing Address - Street 1:307 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7437
Mailing Address - Country:US
Mailing Address - Phone:419-422-1615
Mailing Address - Fax:
Practice Address - Street 1:2500 TIFFIN AVE
Practice Address - Street 2:FINDLAY WAL-MART VISION CENTER
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9511
Practice Address - Country:US
Practice Address - Phone:419-425-2125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3788, T-737152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
JE9364301Medicare PIN
T48368Medicare UPIN