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

Dr. Lance Daniel I, OD

Individual provider Optometrist · NPI 1003957374

Dr. Lance Daniel I, OD is an Optometry in Fayetteville, Arkansas. Graduated from Southern College of Optometry in 1989, 37 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
37
Trained at
Southern College of Optometry
Licensed in
AR
In the registry since
2007
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

4201 N Shiloh Dr
Fayetteville, AR 72703-5180
Phone: (479) 444-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2371 (AR)

Record details

NPI number1003957374
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 15, 2021
Certification dateAugust 7, 2020
Mailing address1100 S Amity Rd Ste A, Conway, AR 72032-8106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated

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