Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Carl Pridemore, OD

Individual provider Optometrist · NPI 1104189877

Dr. Daniel Carl Pridemore, OD is an Optometrist in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2761 S 108th St
West Allis, WI 53227-3232
Phone: (414) 321-2425
Fax: (414) 321-4647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3270-35 (WI)

Record details

NPI number1104189877
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012
Mailing address2761 S 108th St, West Allis, WI 53227-3232

Other providers in West Allis