Condon, Daryl Lee

Condon, Daryl Lee is an individual health care provider with primary practice located at 1014 Northside Dr E Ste E , Statesboro GA 30458-1002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Condon, Daryl Lee can be contacted via phone (912) 764-9147.

Contact Information

Primary practice address
1014 Northside Dr E Ste E Statesboro GA 30458-1002
Phone: (912) 764-9147
Fax: (912) 764-3250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008433 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X OPT002983 Georgia

Profile Details

NPI number 1861408817
LBN Legal business name Condon, Daryl Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861408817 NPPES
Illinois Other 3208237 BC/BS OF IL

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