| Doctor Name: | DR. ANDREW PAUL DEMERITT |
| NPI Number: | 1073869293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 4901004702 |
| Business Practice Address: | 1385 E M 21 Owosso, MI - 488679039 |
| Business Phone Number: | 9897202020 |
| Business Fax Number: | 9297202023 |
| Mailing Address: | 709 W Dewey Rd, OWOSSO |
| State: | MI |
| Postal Code: | 488678962 |
| Phone Number: | 3136862500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2012 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 4901004702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |