Provider Demographics
NPI:1003995028
Name:SANCHEZ, OFELIA D (OD)
Entity Type:Individual
Prefix:DR
First Name:OFELIA
Middle Name:D
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8051 W 24TH AVE
Mailing Address - Street 2:#13
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5595
Mailing Address - Country:US
Mailing Address - Phone:305-827-0038
Mailing Address - Fax:305-827-2398
Practice Address - Street 1:8051 W 24TH AVE
Practice Address - Street 2:#13
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5595
Practice Address - Country:US
Practice Address - Phone:305-827-0038
Practice Address - Fax:305-827-2398
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2423152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078810400Medicaid
20291ZMedicare PIN
FLU19736Medicare UPIN