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NPI Code Detail

MEDICARE: ONDEMANDOD LLC

MEDICARE: ONDEMANDOD LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1881540573
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONDEMANDOD LLC
Provider Business Mailing Address
First Line : 1474 W GRANADA BLVD STE 470
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-8240
Country : US
Telephone Number : 386-673-3011
Fax Number : 386-673-3099
Provider Business Practice Location Address
First Line : 1474 W GRANADA BLVD STE 470
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-8240
Country : US
Telephone Number : 386-673-3011
Fax Number : 386-673-3099
Authorized Official
Title or Position : OWNER
Name : DR. KAILY MARIE TSCHANTZ
Credential : OD
Telephone Number : 407-353-9656
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ONDEMANDOD LLC ” Practice Location

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