DR. Ivetta S Daccache, O.D.

NPI #1790772143 in Pekin, Illinois

Provider Information

NPI Number: 1790772143
Entity Type: Individual
Name: DR. Ivetta S Daccache, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 30, 2005
Last Updated: May 20, 2013

Practice Location

Address: 725 S 14TH ST
City: Pekin
State: Illinois
ZIP Code: 61554-5073
Phone: (309) 353-6660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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