Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER G THEODOROUS, OD
ActivePETER G THEODOROUS, OD is a Optometrist healthcare provider located in SPRING MILLS, Pennsylvania. NPI 1407843535 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SPRING MILLS, PA
Registration Details
- NPI Number
- 1407843535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.859648667063 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OEG000709 (PA)
Practice Information
- Address
-
4570 PENNS VALLEY RDSUITE 3SPRING MILLS, PA, 168758500Browse PA providers · Browse ZIP 16875
- Phone
- 8144228006
- Fax
- 8144228561
- Primary Specialty
-
Optometrist
152W00000X
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.