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

Mrs. Irene Fotiadis, OPTICIAN

Individual provider Optician · NPI 1477674992

Mrs. Irene Fotiadis, OPTICIAN is an Optician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

10752 Bustleton Ave
Philadelphia, PA 19116-3367
Phone: (215) 698-7450
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 274722379 (PA)

Record details

NPI number1477674992
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESJanuary 19, 2012

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