Darrell Evans O.D.

NPI 1033149331 - Optometrist - 152W00000X

NPI Details
NPI 1033149331
Gender Male
Enumeration Date 07/03/2006
Last Updated 02/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
703 RUTTER AVE
KINGSTON PA, 18704-4801, US
Phone (570) 288-7405
Fax (570) 288-7406
Business Location
703 RUTTER AVE
KINGSTON PA, 18704-4801, US
Phone (570) 288-7405
Fax (570) 288-7406
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG000726
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According to our database, Darrell Evans O.D. NPI is 1033149331, taxonomy code is 152W00000X and license number is OEG000726, license state is located at Pennsylvania. Darrell Evans O.D. physically located at 703 Rutter Ave, Kingston PA, 18704-4801. NPI Number Darrell Evans O.D. has the Individual type.

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1033149331 NPI number is provided on an as is basis without warranty of any kind. 1033149331 is maintained by the National Plan & Provider Enumeration System. The contents of Darrell Evans O.D. are for informational purposes only.