John Lawrence Duffy, O.D.
Individual provider Active NPI Optometrist · Rosemont, PA
NPI 1184769713 · NPPES record last updated Sep 11, 2007
Key facts
- NPI
- 1184769713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG001604 (PA)
- Practice address
- 1211 W. Lancaster Ave.
Rosemont, PA 19010 - Phone
- (610) 525-2580
- Fax
- (610) 525-2705
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001604 | PA | Yes |
Addresses
Primary practice location
1211 W. Lancaster Ave.
Rosemont, PA 19010
Mailing address
1211 W. Lancaster Ave.
Rosemont, PA 19010
Phone (610) 525-2580
Other providers in Rosemont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.