Provider Demographics
NPI:1639243736
Name:MARTELL, DELINDA JANE (OD)
Entity Type:Individual
Prefix:MS
First Name:DELINDA
Middle Name:JANE
Last Name:MARTELL
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 1:443 BERKLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1508
Mailing Address - Country:US
Mailing Address - Phone:610-649-2693
Mailing Address - Fax:
Practice Address - Street 1:1030 ARCH ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19107-3011
Practice Address - Country:US
Practice Address - Phone:215-592-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG1343152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist