National Provider Identifier Database

DANIELLE J IRVINE, OD – NPI #1760745871
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

DANIELLE J IRVINE, OD
309 N FRANKLIN ST
PORT WASHINGTON, WI53074-1905
Phone: 262-261-5252
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Low Vision Rehabilitation 152WL0500X

* Indicates primary specialty

NPI Profile & details for DANIELLE J IRVINE

NPI Number 1760745871
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/22/2012
Last updated 10/21/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 046010557
  • WI License #: 3589-35
  • IL Medicaid: 046010557
  • IL Other: 502720065 MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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