Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Thomas Soderberg, OD

Individual provider Optometrist · NPI 1245527654

Dr. Daniel Thomas Soderberg, OD is an Optometry in Mansfield, Ohio. Graduated from Ohio State University - College of Optometry in 2011, 15 years ago. Practices with Dr Ronald J Gaudio and Associates Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
15
Trained at
Ohio State University - College of Optometry
Licensed in
OH, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1164 Lexington Ave
Mansfield, OH 44907-2254
Phone: (419) 756-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.006093 (OH)
Optometrist Taxonomy 152W00000X · Licence OEG002472 (PA)

Record details

NPI number1245527654
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address1701 Woodland Hall Dr, Delaware, OH 43015-7009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Dr Ronald J Gaudio And Associates Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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