Provider Demographics
NPI:1558035667
Name:CACHO, LIXI (ABOC)
Entity Type:Individual
Prefix:
First Name:LIXI
Middle Name:
Last Name:CACHO
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 WILMINGTON PIKE # 451
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1233
Mailing Address - Country:US
Mailing Address - Phone:610-563-0899
Mailing Address - Fax:
Practice Address - Street 1:391 WILMINGTON PIKE # 451
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1233
Practice Address - Country:US
Practice Address - Phone:610-563-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty