Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL DEJARNATT, OD
Deactivated Sole ProprietorDANIEL DEJARNATT, OD is a Optometrist healthcare provider located in FAYETTEVILLE, Tennessee. NPI 1023002458 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · FAYETTEVILLE, TN
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1023002458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (0.56986301369863 yrs)
- Last Updated
- May 29, 2014
- Deactivated
- Mar 27, 2006
- License
-
1046 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 THORNTON TAYLOR PKWY STE CFAYETTEVILLE, TN, 373343655Browse TN providers · Browse ZIP 37334
- Phone
- 9314333084
- Fax
- 9314334188
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FAYETTEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| WILLIAM COY WOMBLE | O.D. | 1992888440 |
| DR. ROBERT LARRY PERKINS | OD | 1326127705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.