| Doctor Name: | DAN L MYER |
| NPI Number: | 1093982720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FCLSA, LDO |
| License Number: | LDO1683 |
| Business Practice Address: | 25 Equestrian Way Ne Cartersville, GA - 301218032 |
| Business Phone Number: | 4043232020 |
| Business Fax Number: | 4044122020 |
| Mailing Address: | 25 Equestrian Way Ne, CARTERSVILLE |
| State: | GA |
| Postal Code: | 301218032 |
| Phone Number: | 4043232020 |
| Fax Number: | 4044122020 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FC0800X |
| License Number: | LDO1683 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Contact Lens |
| Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |