Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | OPC3071 | FL |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC3071 | FL |
NPI | 1083635569 |
---|---|
Provider Name | Dr. Daniel L Hachey |
First Address | Naples, FL 34112-7591 |
Second Address | Naples, FL 34104-5337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 23/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20797 | BLUE CROSS BLUE SHIELD NO (01) | FL |
51032-001 | DAVIS VISION (01) | FL |
64722 | OPTUM HEALTH (01) | FL |
U69304 | (02) | FL |