MEDICARE: KATHLEEN A NADLER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG002264	PA

General Provider Information

NPI Number	:	1366674988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN A NADLER OD

Provider Business Mailing Address
First Line	:	1155 GWYNEDALE WAY
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-5362
Country	:	US
Telephone Number	:	215-350-6464
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N LEWIS RD STE 70
Second Line	:
City	:	ROYERSFORD
State	:	PA
Zip	:	19468-1531
Country	:	US
Telephone Number	:	610-948-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2009
Last Update Date	:	08/08/2021

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