NPI 1366416026 · live from the CMS NPI Registry
Bethany M Lewallen, O.D
Optometrist in Dover, DE. National Provider Identifier 1366416026, active.
NPI record
| NPI | 1366416026 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 820 Walker Rd, Dover, DE 19904 |
| Practice phone | 302-678-3545 |
| Mailing address | 820 Walker Rd, Vision Quest Eye Care Center INC, Dover, DE 19904 |
| Enumerated | February 17, 2006 |
| Last updated | May 3, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I3-0001251 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.