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NPI Code Detail

MEDICARE: DR. DANIEL L HACHEY O.D.

MEDICARE: DR. DANIEL L HACHEY O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management OptometristOPC3071FL
2152W00000XOptometristOPC3071FL
3152WP0200XPediatric OptometristOPC3071FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120797OTHERFLBLUE CROSS BLUE SHIELD NO

General Provider Information

NPI Number : 1083635569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL L HACHEY O.D.
Provider Business Mailing Address
First Line : 27028 BELLE RIO DR
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-4427
Country : US
Telephone Number : 239-687-6868
Fax Number :
Provider Business Practice Location Address
First Line : 2415 TARPON BAY BLVD UNIT 1
Second Line :
City : NAPLES
State : FL
Zip : 34119-8764
Country : US
Telephone Number : 239-206-1192
Fax Number : 239-206-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 05/23/2022

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