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NPI Code Detail

MEDICARE: DR. DAVID MELTZER O.D.

MEDICARE:  DR. DAVID  MELTZER  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
1152W00000XOptometristOEG000772PA

General Provider Information

NPI Number : 1710912167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MELTZER O.D.
Provider Business Mailing Address
First Line : CMR 427, BX 2410
Second Line :
City : APO
State : AE
Zip : 09630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 W GODFREY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-3323
Country : US
Telephone Number : 215-276-6000
Fax Number : 215-276-1329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/21/2022

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Directions to “ DR. DAVID MELTZER O.D.” Practice Location

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