NPI 1609032085 · live from the CMS NPI Registry
Dennis R Mirra, OD PA
Optometrist in Wilmington, DE. National Provider Identifier 1609032085, active.
NPI record
| NPI | 1609032085 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2601 Annand Dr, Suite 21, Wilmington, DE 19808 |
| Practice phone | 302-998-3332 |
| Enumerated | August 5, 2008 |
| Last updated | March 2, 2009 |
| Authorized official | Dennis Mirra, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.