NPI 1013961663 · live from the CMS NPI Registry
Christopher P Davolos, OD
Optometrist in Wilmington, DE. National Provider Identifier 1013961663, active.
NPI record
| NPI | 1013961663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 213 Greenhill Ave, Suite A, Wilmington, DE 19805 |
| Practice phone | 302-656-8867 |
| Enumerated | May 19, 2006 |
| Last updated | September 4, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I3-0001292 (DE) |
| Optometrist | 152W00000X | OEG001481 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.