NPI 1013929710

Melissa a Vitek, OPTOMETRIST

Practitioner Optometrist Philadelphia, PA

Practice location

Address: 1200 W Godfrey Ave, Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
Mailing address: 1028 Delene Rd, Rydal, PA 19046-3314

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OEG001220 (PA)

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Registry record

NPI: 1013929710
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.