Provider Demographics
NPI:1871302851
Name:DR. DANIEL SITU, O.D. CORPORATION
Entity type:Organization
Organization Name:DR. DANIEL SITU, O.D. CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SITU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:415-921-1500
Mailing Address - Street 1:1752 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3130
Mailing Address - Country:US
Mailing Address - Phone:415-921-1500
Mailing Address - Fax:415-921-0541
Practice Address - Street 1:1752 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3130
Practice Address - Country:US
Practice Address - Phone:415-921-1500
Practice Address - Fax:415-921-0541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty