Organization
DR. LOUIS J VERDELLI & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS J VERDELLI O.D. (OWNER)
(717) 561-2983
Entity
Organization
Contact information
Practice address
6535 GRAYSON RD, HARRISBURG, PA 17111-5141
(717) 561-2983
(717) 561-7791
Mailing address
6535 GRAYSON RD, HARRISBURG, PA 17111-5141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR1367955
BLUE SHIELD PID
PA
Enumeration date
02/24/2007
Last updated
10/15/2008
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