NPI 1689307738 · live from the CMS NPI Registry
Maureen Iredell
Optometrist in Wilmington, DE. National Provider Identifier 1689307738, active.
NPI record
| NPI | 1689307738 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1601 Kirkwood Hwy, Wilmington, DE 19805 |
| Practice phone | 302-994-2511 |
| Mailing address | 4608 Haverford Pl Apt 12, Wilmington, DE 19808 |
| Enumerated | July 6, 2022 |
| Last updated | July 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OEG003913 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.