NPI 1982363966 · live from the CMS NPI Registry
Elizabeth Rachael Ide, OD
Optometrist, Pediatrics in Middletown, DE. National Provider Identifier 1982363966, active.
NPI record
| NPI | 1982363966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Pediatrics 152WP0200X |
| Practice location | 472 E Main St, Middletown, DE 19709 |
| Practice phone | 302-239-1933 |
| Enumerated | December 17, 2021 |
| Last updated | December 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Pediatrics primary | 152WP0200X | I4-0010113 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.