Provider Demographics
NPI:1831272848
Name:WEILER, DANIELLE L (OD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:L
Last Name:WEILER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:LUKKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3601 S 6TH AVE
Mailing Address - Street 2:2-112A
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-838-3656
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:2-112A
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-838-3656
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3026152W00000X
IL046009837152W00000X
AZOPT-002859152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist