| |
210 Lantana Dr, Hockessin, DE 19707-8805 | |
(302) 235-7031 | |
(302) 235-7032 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 210 Lantana Dr, Hockessin, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609992502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | I3-0001250 (Delaware) | Primary |
Mailing Address | Practice Location Address |
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210 Lantana Dr, Hockessin, DE 19707-8805 Ph: (302) 235-7031 | 210 Lantana Dr, Hockessin, DE 19707-8805 Ph: (302) 235-7031 |