Provider Demographics
NPI:1659801553
Name:DANT, EKATERINA (OD)
Entity Type:Individual
Prefix:DR
First Name:EKATERINA
Middle Name:
Last Name:DANT
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 1:2451 N MCMULLEN BOOTH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-1362
Mailing Address - Country:US
Mailing Address - Phone:844-789-2020
Mailing Address - Fax:844-789-2020
Practice Address - Street 1:2451 N MCMULLEN BOOTH RD STE 201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1362
Practice Address - Country:US
Practice Address - Phone:727-216-6214
Practice Address - Fax:844-789-2020
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5378152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist