Provider Demographics
NPI:1528284346
Name:TOOCHECK, DANIEL E (OD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:E
Last Name:TOOCHECK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 LENAPE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6915
Mailing Address - Country:US
Mailing Address - Phone:484-354-2835
Mailing Address - Fax:
Practice Address - Street 1:1781 LENAPE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6915
Practice Address - Country:US
Practice Address - Phone:484-354-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001602152W00000X
DEI3-0001323152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232876492OtherFED TAX ID
PA0017031950004Medicaid
DE15180Medicare PIN
PAU39867Medicare UPIN
PA729998Medicare PIN