MR. Mike E. Pelivanis, LDO
NPI #1407997992 in Washington, District of Columbia
Provider Information
- NPI Number
- 1407997992
- Entity Type
- Individual
- Name
- MR. Mike E. Pelivanis, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4200 WISCONSIN AVE NW
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20016-2143
- Phone
- (202) 244-1308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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