Organization
GEORGE W. KLEDARAS, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W KLEDARAS O.D. (PRESIDENT)
(302) 764-4613
Entity
Organization
Contact information
Practice address
230 PHILADELPHIA PIKE, WILMINGTON, DE 19809-3125
(302) 764-4613
(302) 764-3201
Mailing address
230 PHILADELPHIA PIKE, WILMINGTON, DE 19809-3125
(302) 764-4613
(302) 764-3201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001166
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000172422
—
DE
Enumeration date
02/07/2007
Last updated
04/19/2010
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