NPI 1295720522 · live from the CMS NPI Registry
Dennis R Mirra, O. D.
Optometrist in Dover, DE. National Provider Identifier 1295720522, active.
NPI record
| NPI | 1295720522 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 885 S Governors Ave, Dover, DE 19904 |
| Practice phone | 302-734-5861 |
| Enumerated | September 13, 2005 |
| Last updated | January 31, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I3-0001149 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.