Doctor Name: | DR. ANTHONY T MOLITORIS |
NPI Number: | 1528155520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OEG000470 |
Business Practice Address: | 1500 Sans Souci Pkwy Hanover Township, PA - 187066028 |
Business Phone Number: | 5708230700 |
Business Fax Number: | 5708236704 |
Mailing Address: | 1500 Sans Souci Pkwy, HANOVER TOWNSHIP |
State: | PA |
Postal Code: | 187066028 |
Phone Number: | 5708230700 |
Fax Number: | 5708236704 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 05/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OEG000470 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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. |