| |
3801 Kennett Pike Ste A102, Greenville, DE 19807-2307 | |
(302) 777-4794 | |
(302) 777-4872 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 3801 Kennett Pike Ste A102, Greenville, Delaware |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194893925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | I30001211 (Delaware) | Primary |
Provider Name | John N Psaltis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346327301 PECOS PAC ID: 1658390786 Enrollment ID: I20110330000438 |
Mailing Address | Practice Location Address |
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Trolley Square, Unit 19a, Wilmington, DE 19806 Ph: (302) 777-4794 | 3801 Kennett Pike Ste A102, Greenville, DE 19807-2307 Ph: (302) 777-4794 |
John Nickolas Psaltis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3801 Kennett Pike Ste A102, Greenville, DE 19807 Phone: 302-777-4794 Fax: 302-777-4872 |