| NPI | 1174782973 |
|---|---|
| Former Legal Business Name | DANIEL J. EAGAN OD & ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL J. EAGAN Member 334-468-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-B57-TA-770) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AL S-B57-TA-770) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AL S-B57-TA-770) | |
| 152WP0200X Optometrist, Pediatrics (Licence: AL S-B57-TA-770) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2011-08-04 |