Organization Active NPI

David M. Pritzker O. D., P. C. .

  • Optometrist
  • Red Lion, PA
National Provider Identifier
1205983376
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE005285T Issued in PA
Legal business name
DAVID M. PRITZKER O. D., P. C. .
Practice address
215 Country Ridge Drive
Red Lion, PA 17356-8866
Phone
(717) 751-6116
Fax
(717) 751-0542
NPI assigned
Jan 4, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David M . Pritzker, O. D.NPI 1598066441
Title
President
Phone
(717) 751-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE005285T PA Primary

Addresses

Primary practice location

215 Country Ridge Drive
Red Lion, PA 17356-8866

Mailing address

215 Country Ridge Dr
Red Lion, PA 17356-8866
Phone (717) 751-6116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1205983376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COUNTRY RIDGE DR",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173568866",
            "telephone_number": "717-751-6116",
            "fax_number": "717-751-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COUNTRY RIDGE DRIVE",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173568866",
            "telephone_number": "717-751-6116",
            "fax_number": "717-751-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. PRITZKER O. D., P. C. .",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "PRITZKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M .",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-751-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005285T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.