Daniel Julien Lundgren, OD

Optometrist · Modesto, CA

Individual Active NPI

NPI number 1811986375

Practice location

4601 Dale Rd
Modesto, CA 95356-9718
Phone
(209) 735-3150
Fax
(209) 735-3155

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NPI record

NPI
1811986375
Entity type
Individual (Type 1)
Enumeration date
October 18, 2005
Last updated
January 3, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 9435T CA

About Dr. Lundgren

Daniel Julien Lundgren, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4601 Dale Rd, Modesto, CA 95356-9718. The NPI number 1811986375 was assigned on October 18, 2005 and the record was last updated on January 3, 2022.

Dr. Lundgren lists a license in the registry: #9435T (CA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Julien Lundgren, OD?

The NPI number is 1811986375.

What is the phone number of Dr. Lundgren?

The phone number listed for the practice location is (209) 735-3150.

Where is Dr. Lundgren located?

4601 Dale Rd, Modesto, CA 95356-9718.

What is the taxonomy code for Dr. Lundgren?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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