IndividualActive
Dennis Mirra, O. D.
NPI 1295720522 · Optometrist · Dover, DE
Provider details
- NPI number
- 1295720522
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O. D.
- Sex
- Male
- Sole proprietor
- No
- License
- I3-0001149 (DE)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
885 S Governors Ave
Dover, DE 19904-4158
Phone: (302) 734-5861
Fax: (302) 734-1921
Approximate (ZIP-level) locationGet directions
Mailing address
885 S Governors Ave
Dover, DE 19904-4158
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2014-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.