Provider Demographics
NPI:1992734107
Name:RITTERMAN, FRED JEFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:FRED
Middle Name:JEFFREY
Last Name:RITTERMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944
Mailing Address - Country:US
Mailing Address - Phone:215-257-6807
Mailing Address - Fax:215-643-2299
Practice Address - Street 1:526 MARKET ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944
Practice Address - Country:US
Practice Address - Phone:215-257-6807
Practice Address - Fax:215-643-2299
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE005320T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0370390001OtherNSC
0370390001OtherNSC
T27197Medicare UPIN