NPI 1972157774 · live from the CMS NPI Registry
Myeyedr.
Optometrist in Middletown, DE. National Provider Identifier 1972157774, active.
NPI record
| NPI | 1972157774 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 223 E Main St, Middletown, DE 19709 |
| Practice phone | 302-376-1900 |
| Enumerated | July 30, 2019 |
| Last updated | November 2, 2019 |
| Authorized official | Zefanne Bergado, Optometrist |
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.