Provider Demographics
NPI:1780098806
Name:REMINGTON, DANIELLE (OD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:LANZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:50 MCNAUGHTEN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2120
Mailing Address - Country:US
Mailing Address - Phone:614-863-3937
Mailing Address - Fax:614-863-5010
Practice Address - Street 1:3200 S COUNTRY CLUB WAY
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4054
Practice Address - Country:US
Practice Address - Phone:480-839-0206
Practice Address - Fax:480-839-0208
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6293152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No152W00000XEye and Vision Services ProvidersOptometrist