Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEYDRON DWANE DEROSA, OD DOCTOR OF OPTOMET
ActiveKEYDRON DWANE DEROSA, OD DOCTOR OF OPTOMET is a Optometrist healthcare provider located in HERMITAGE, Pennsylvania. NPI 1366514309 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HERMITAGE, PA
Registration Details
- NPI Number
- 1366514309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.724332885812 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
4976P (PA)3165T405 (OH)
Practice Information
- Address
-
1275 NORTH HERMITAGE ROADWALMART VISION CENTERHERMITAGE, PA, 16148Browse PA providers · Browse ZIP 16148
- Phone
- 7243465950
- Fax
- 7243426246
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in HERMITAGE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ALAN J FRANK | OD | 1831188309 |
| MARGARET M MASTRIAN | O.D. | 1972586766 |
| LOUIS W MASTRIAN | O.D. | 1255314043 |
| DR. NEIL G. CALLAHAN | O.D. | 1568568277 |
| DR. GEORGE MARTUCCIO | OD | 1063505345 |
| DR. GARY L ROBERTS | OD | 1598843815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.