Wellformed AI

NPI 1144311010 · live from the CMS NPI Registry

Roger D. Ammon, O.D.

Optometrist in Wilmington, DE. National Provider Identifier 1144311010, active.

NPI record

NPI1144311010 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location2205 Concord Pike, Wilmington, DE 19803
Practice phone302-655-1952
EnumeratedSeptember 27, 2006
Last updatedDecember 9, 2009
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000XI3-0001250 (DE)
Optometrist152W00000XOEG000774 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.