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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEYDRON D DEROSA · (Male)

NPI Number 1366514309
Status Active
Credentials OD DOCTOR OF OPTOMET
Entity Individual
Enumeration date 11/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 3165T405
  • PA License # 4976P
Hospital affiliation(s) Not Available
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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