Peter G Theodorous, OD

NPI #1407843535 in Spring Mills, Pennsylvania

Provider Information

NPI Number: 1407843535
Entity Type: Individual
Name: Peter G Theodorous, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 4, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4570 PENNS VALLEY RD
Address 2: SUITE 3
City: Spring Mills
State: Pennsylvania
ZIP Code: 16875-8500
Phone: (814) 422-8006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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