MEDICARE: DR. DAVID MICHAEL PRITZKER O.D.

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	152WC0802X	Corneal and Contact Management Optometrist	OEG-002042	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598066441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL PRITZKER O.D.

Provider Business Mailing Address
First Line	:	2899 WHITEFORD RD
Second Line	:	SEARS OPTICAL
City	:	YORK
State	:	PA
Zip	:	17402-8902
Country	:	US
Telephone Number	:	717-751-6116
Fax Number	:	717-751-0542

Provider Business Practice Location Address
First Line	:	2899 WHITEFORD RD
Second Line	:	SEARS OPTICAL
City	:	YORK
State	:	PA
Zip	:	17402-8902
Country	:	US
Telephone Number	:	717-751-6116
Fax Number	:	717-751-0542

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

Provider Enumeration Date	:	11/09/2010
Last Update Date	:	11/09/2010

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