person
Mr. Mike E. Pelivanis, LDO
NPI 1407997992

Mike E. Pelivanis is a Optician based in Washington, DC and is specialized in Optician. Mike E. Pelivanis practices in Washington, DC and has the professional credentials of LDO. The NPI Number for Mike E. Pelivanis is 1407997992 and holds a License No. (District of Columbia).

The current practice location address for Mike E. Pelivanis is 4200 Wisconsin Ave Nw, Washington, DC and can be reached out via phone at 202-244-1308 and via fax at 202-244-2050.

Location: 4200 Wisconsin Ave Nw, Washington, DC, 20016-2143
person
Provider Profile Details
NPI Number
1407997992
Provider Name
Mike E. Pelivanis
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
4200 Wisconsin Ave Nw, Washington, DC, 20016-2143
Phone Number
202-244-1308
Fax Number
202-244-2050
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4200 Wisconsin Ave Nw
City
State
Zip
20016-2143
Phone Number
202-244-1308
Fax Number
202-244-2050
person
Provider Business Mailing Address Details
Address
4200 Wisconsin Ave Nw
City
State
Zip
20016-2143
Phone Number
202-244-1308
Fax Number
202-244-2050
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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