National Provider Identifier Database

KEYDRON D DEROSA, OD DOCTOR OF OPTOMET – NPI #1366514309
Optometrist

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 systemic conditions affecting the eye.


Contact Information

KEYDRON D DEROSA, OD DOCTOR OF OPTOMET
1275 NORTH HERMITAGE ROAD
WALMART VISION CENTER
HERMITAGE, PA16148
Phone: 724-346-5950
Fax: 724-342-6246
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KEYDRON D DEROSA

NPI Number 1366514309
Credentials OD DOCTOR OF OPTOMET
Entity Individual
Enumeration date 11/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 3165T405
  • PA License #: 4976P
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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