Keydron Dwane Derosa in Hermitage - Optometrist
Keydron Dwane Derosa - NPI 1366514309
Keydron Dwane Derosa is a Optometrist in Hermitage, Pennsylvania. Keydron Dwane Derosa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keydron Dwane Derosa is 1366514309. The last update date is 2007-07-08.
Keydron Dwane Derosa's current location address is 1275 North Hermitage Road, Hermitage, Pennsylvania. You can contact this provider via phone number 7243465950 and fax number 7243426246. The mailing address for Keydron Dwane Derosa is 1275 North Hermitage Road, Hermitage, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keydron Dwane Derosa |
|---|---|
| Address | 1275 North Hermitage Road, Hermitage, Pennsylvania |
| Phone Number | 7243465950 |
| Fax Number | 7243426246 |
| Sole Proprietor | N |
| Credentials | OD DOCTOR |
NPI Number Detail
| NPI Number | 1366514309 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1275 North Hermitage Road |
|---|---|
| City | Hermitage |
| State | Pennsylvania (PA) |
| Post Code | 16148 |
| Phone Number | 7243465950 |
| Fax Number | 7243426246 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4976P |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique identifier code issued to Keydron Dwane Derosa by the Centers for Medicare & Medicaid Services (CMS)?
The Keydron Dwane Derosa has been assigned the NPI (National Provider Identifier) 1366514309. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Keydron Dwane Derosa is physically located?
The Keydron Dwane Derosa is situated at the following address: 1275 North Hermitage Road, Hermitage, PA 16148.
What is Keydron Dwane Derosa's area of expertise and its corresponding taxonomy classification?
The Keydron Dwane Derosa's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1366514309 to Keydron Dwane Derosa?
The Centers for Medicare & Medicaid Services assigned the 1366514309 to Keydron Dwane Derosa on 2006-11-14.
When was the Keydron Dwane Derosa's information last updated?
The Keydron Dwane Derosa's information was last updated on 2007-07-08.
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