Provider Demographics
NPI:1639660731
Name:DAYONE
Entity Type:Organization
Organization Name:DAYONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:
Authorized Official - Last Name:AZEMARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-303-9872
Mailing Address - Street 1:6600 NW 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-5569
Mailing Address - Country:US
Mailing Address - Phone:305-303-9872
Mailing Address - Fax:
Practice Address - Street 1:8030 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4226
Practice Address - Country:US
Practice Address - Phone:305-303-9872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO4804152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty