Individual
DR. DOMINIC ORLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003020
PA
152W00000X
Optometrist
S-C09-TA-835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003020
STATE LICENSE
PA
01
—
S-C09-TA-835
STATE LICENSE
AL
Enumeration date
06/16/2009
Last updated
11/14/2022
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