Provider Demographics
NPI:1144955469
Name:PENTES, CHRISTOPHER JAMES (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:PENTES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1460 BETHLEHEM PIKE STE 230
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-2102
Mailing Address - Country:US
Mailing Address - Phone:215-631-8996
Mailing Address - Fax:
Practice Address - Street 1:1460 BETHLEHEM PIKE STE 230
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2102
Practice Address - Country:US
Practice Address - Phone:215-631-8996
Practice Address - Fax:445-544-9189
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003935152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist