NPI 1871636829 · live from the CMS NPI Registry
Rod Thomas Gualtieri, O.D.
Optometrist in Media, PA. National Provider Identifier 1871636829, active.
NPI record
| NPI | 1871636829 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1067 W. Baltimore Pike, Pearl Vision Granite Run Mall, Media, PA 19063 |
| Practice phone | 610-566-7461 |
| Mailing address | 807 Snuff Mill Road, Wilmington, DE 19807 |
| Enumerated | February 15, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OET 008785 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.