Individual
JOHN NICKOLAS PSALTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3801 KENNETT PIKE STE A102, GREENVILLE, DE 19807-2307
(302) 777-4794
(302) 777-4872
Mailing address
3801 KENNETT PIKE STE A102, WILMINGTON, DE 19807-2307
(302) 777-4794
(302) 777-4872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
G000697PA
PA
152W00000X
Optometrist
Primary
I30001211OS
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000553722
—
DE
01
—
G01011
GROUP MEDICARE
DE
Enumeration date
11/01/2006
Last updated
11/21/2025
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