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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THADDEUS DANIEL

Active Sole Proprietor

DR. THADDEUS DANIEL is a Optometrist healthcare provider located in SHAWANO, Wisconsin. NPI 1366576399 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SHAWANO, WI

Registration Details

NPI Number
1366576399
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2007 (19.390714868248 yrs)
Last Updated
Mar 19, 2025
Licenses
2396 (CO)
2359 (WI)
Sole Proprietor
Yes

Practice Information

Address
1244 E GREEN BAY ST
OPTICAL DEPT
SHAWANO, WI, 541662208
Browse WI providers · Browse ZIP 54166
Phone
7155262376
Fax
7155269651
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in SHAWANO, WI

Name Credential NPI
MRS. ROXANNE DOYLE KESZO OD 1821063009
MR. WILLIAM JAMES STERN O.D. 1013977347
JANSON A MANCHESKI OD 1780768333
DR. THOMAS G PETERSON O.D. 1114043387
MR. KAVIT LACHE BEYERSDORF OD 1447489661
DR. JONATHAN GEORGE MENOS O.D. 1932580537
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.