Provider Demographics
NPI:1194878520
Name:RITCHEY, DELBERT C JR (OD)
Entity type:Individual
Prefix:DR
First Name:DELBERT
Middle Name:C
Last Name:RITCHEY
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1528 WALNUT ST
Mailing Address - Street 2:PEARLE VISION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3604
Mailing Address - Country:US
Mailing Address - Phone:215-732-7622
Mailing Address - Fax:215-732-7626
Practice Address - Street 1:1528 WALNUT ST
Practice Address - Street 2:PEARLE VISION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3604
Practice Address - Country:US
Practice Address - Phone:215-732-7622
Practice Address - Fax:215-732-7626
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000741152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist