Provider Demographics
NPI:1700095932
Name:WOLFORD, ESTHER MELE (OD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MELE
Last Name:WOLFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:FISHER
Other - Last Name:MELE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:821 WEABER AVE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-9107
Mailing Address - Country:US
Mailing Address - Phone:717-832-0987
Mailing Address - Fax:
Practice Address - Street 1:100 N LONDONDERRY SQ
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-3904
Practice Address - Country:US
Practice Address - Phone:717-838-9484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000230152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist