Daniel Thomas Soderberg, O.D.

Optometrist · Mansfield, OH

Individual Active NPI

NPI number 1245527654

Practice location

1164 Lexington Ave
Mansfield, OH 44907-2254
Phone
(419) 756-0500

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NPI record

NPI
1245527654
Entity type
Individual (Type 1)
Enumeration date
July 6, 2011
Last updated
February 21, 2020
Certified
February 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT.006093 OH
Optometrist 152W00000X OEG002472 PA

Mailing address

1701 Woodland Hall Dr
Delaware, OH 43015-7009

About Dr. Soderberg

Daniel Thomas Soderberg, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1164 Lexington Ave, Mansfield, OH 44907-2254. The NPI number 1245527654 was assigned on July 6, 2011 and the record was last updated on February 21, 2020.

Dr. Soderberg lists 2 licenses in the registry: #OPT.006093 (OH) for Optometrist; #OEG002472 (PA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Thomas Soderberg, O.D.?

The NPI number is 1245527654.

What is the phone number of Dr. Soderberg?

The phone number listed for the practice location is (419) 756-0500.

Where is Dr. Soderberg located?

1164 Lexington Ave, Mansfield, OH 44907-2254.

What is the taxonomy code for Dr. Soderberg?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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