Provider Demographics
NPI:1366674988
Name:NADLER, KATHLEEN A (OD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:A
Last Name:NADLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 GWYNEDALE WAY
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5362
Mailing Address - Country:US
Mailing Address - Phone:215-350-6464
Mailing Address - Fax:
Practice Address - Street 1:301 N LEWIS RD STE 70
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1531
Practice Address - Country:US
Practice Address - Phone:610-948-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-15
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002264152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist