Provider Demographics
NPI:1790949055
Name:DELAKIS, JOHN N (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:N
Last Name:DELAKIS
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
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Mailing Address - Street 1:4054 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-9000
Mailing Address - Country:US
Mailing Address - Phone:715-833-1220
Mailing Address - Fax:715-833-1297
Practice Address - Street 1:4054 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-9000
Practice Address - Country:US
Practice Address - Phone:715-833-1220
Practice Address - Fax:715-833-1297
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician