Provider Demographics
NPI:1194130203
Name:BUTCHEY, RHEA (OD)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:
Last Name:BUTCHEY
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 1:15800 SURREY CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-2568
Mailing Address - Country:US
Mailing Address - Phone:954-260-8015
Mailing Address - Fax:
Practice Address - Street 1:2131 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33305
Practice Address - Country:US
Practice Address - Phone:954-565-8274
Practice Address - Fax:954-565-8716
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4941390200000X, 152W00000X
FL4941152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program