Provider Demographics
NPI:1497941686
Name:DASHER FAMILY EYECARE, LLC
Entity Type:Organization
Organization Name:DASHER FAMILY EYECARE, LLC
Other - Org Name:DR. JULIE L. MERCER-DASHER, OPTOMETRIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MERCER-DASHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-324-5523
Mailing Address - Street 1:900 N BECHTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-2082
Mailing Address - Country:US
Mailing Address - Phone:937-324-5523
Mailing Address - Fax:
Practice Address - Street 1:900 N BECHTLE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2082
Practice Address - Country:US
Practice Address - Phone:937-324-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5406152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1750468302OtherNPI
OH1528117249OtherNPI
OH9371691Medicare PIN