Provider Demographics
NPI:1538129564
Name:RITTER, EMILIE PATRICIA (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:PATRICIA
Last Name:RITTER
Suffix:
Gender:F
Credentials:OD
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Other - Credentials:
Mailing Address - Street 1:769 S 25TH ST
Mailing Address - Street 2:DR.. RITTER C/O AMERICA'S BEST CONTACTS AND EYEGLASSES
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5301
Mailing Address - Country:US
Mailing Address - Phone:484-544-4551
Mailing Address - Fax:484-544-4557
Practice Address - Street 1:769 S 25TH ST
Practice Address - Street 2:DR.. RITTER C/O AMERICA'S BEST CONTACTS AND EYEGLASSES
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5301
Practice Address - Country:US
Practice Address - Phone:484-544-4551
Practice Address - Fax:484-544-4557
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET008990152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019711250001Medicaid
PA115208Medicare PIN
PA1019711250001Medicaid