Basic Information
| Provider Information | |||||||||
| NPI: | 1588135651 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OCHS | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | ANTHONY | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13904 N DALE MABRY HWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336182446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139082020 | ||||||||
| FaxNumber: | 8139082133 | ||||||||
| Practice Location | |||||||||
| Address1: | 13904 N DALE MABRY HWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336182446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139082020 | ||||||||
| FaxNumber: | 8139082133 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2018 | ||||||||
| LastUpdateDate: | 09/03/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OPC5616 | FL | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.