Provider Demographics
NPI:1952562118
Name:OFELIA D SANCHEZ OD PA
Entity Type:Organization
Organization Name:OFELIA D SANCHEZ OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-827-0038
Mailing Address - Street 1:8051 W 24TH AVE
Mailing Address - Street 2:BAY 13
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5595
Mailing Address - Country:US
Mailing Address - Phone:305-827-0038
Mailing Address - Fax:305-827-2398
Practice Address - Street 1:8051 W 24TH AVE
Practice Address - Street 2:BAY 13
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5595
Practice Address - Country:US
Practice Address - Phone:305-827-0038
Practice Address - Fax:305-827-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA765Medicare PIN