Provider Demographics
NPI:1851607741
Name:YAECKEL, CATHERINE DAU (OD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DAU
Last Name:YAECKEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:DAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3101 SW COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8459
Mailing Address - Country:US
Mailing Address - Phone:352-237-3768
Mailing Address - Fax:352-237-4595
Practice Address - Street 1:3101 SW COLLEGE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8459
Practice Address - Country:US
Practice Address - Phone:352-237-3768
Practice Address - Fax:352-237-4595
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4515152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist