NPI 1740279793 · live from the CMS NPI Registry
Daniel Dayton Bishop, OD
Optometrist in Salem, OR. National Provider Identifier 1740279793, active.
NPI record
| NPI | 1740279793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 660 Capitol St Ne, Salem, OR 97301 |
| Practice phone | 503-364-0512 |
| Mailing address | 4125 Rivercrest Dr N, Keizer, OR 97303 |
| Enumerated | October 20, 2005 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1472ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.