Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keydron Dwane Derosa, ODDOCTOROFOPTOMET

Individual provider Optometrist · NPI 1366514309

Keydron Dwane Derosa, ODDOCTOROFOPTOMET is an Optometrist in Hermitage, Pennsylvania. Licensed in Ohio and Pennsylvania. Registered with an NPI since 2006.

Licensed in
OH, PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1275 N Hermitage Road Walmart Vision Ctr
Hermitage, PA 16148
Phone: (724) 346-5950
Fax: (724) 342-6246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4976P (PA)
Optometrist Taxonomy 152W00000X · Licence 3165T405 (OH)

Record details

NPI number1366514309
Entity typeIndividual (Type 1)
GenderMale
Credentials ODDOCTOROFOPTOMET
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Hermitage