Peter G Theodorous, OD is a
Optometrist based in Spring Mills, Pennsylvania. Peter G Theodorous is licensed to practice in Pennsylvania (license number OEG000709) and his current practice location is
4570 Penns Valley Rd, Suite 3, Spring Mills, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 422-8006.
NPI number for Peter G Theodorous is 1407843535 and his current mailing address is 428 Windmere Dr, Suite 100, State College, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407843535.
Healthcare Provider's Profile
Full Name | Peter G Theodorous |
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Gender | Male |
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Speciality | Optometrist |
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Location | 4570 Penns Valley Rd, Spring Mills, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407843535
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Peter G Theodorous such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407843535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG000709 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter G Theodorous is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peter G Theodorous, OD 428 Windmere Dr, Suite 100, State College, PA 16801-7668 Ph: (814) 234-2015 | Peter G Theodorous, OD 4570 Penns Valley Rd, Suite 3, Spring Mills, PA 16875-8500 Ph: (814) 422-8006 |
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