Doctor Name: | JAMES DEOM |
NPI Number: | 1720495864 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D., M.P.H. |
License Number: | OEG002986 |
Business Practice Address: | 281 Airport Rd Hazle Township, PA - 182023320 |
Business Phone Number: | 5704532020 |
Business Fax Number: | |
Mailing Address: | 180 Knorr Rd, DRUMS |
State: | PA |
Postal Code: | 182223015 |
Phone Number: | 5704361930 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OEG002986 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |