| Emily Hosack, Llc | |
|
229 Main St W, Girard, PA 16417-1615 | |
| (814) 774-2017 | |
| Not Available |
| Full Name | Emily Hosack, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 229 Main St W, Girard, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164762423 | NPI | - | NPPES |
| 102617639 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG002485 (Pennsylvania) | Primary |
| Provider Name | Emily J Hosack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619264686 PECOS PAC ID: 1254501745 Enrollment ID: I20110818000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Hosack, Llc 229 Main St W, Girard, PA 16417-1615 Ph: (814) 774-2017 | Emily Hosack, Llc 229 Main St W, Girard, PA 16417-1615 Ph: (814) 774-2017 |
Susan Jean Godzac, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 229 Main St W, Girard, PA 16417 Phone: 814-774-2017 Fax: 814-774-8558 | |
Dr. Andrew Michael Prischak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 229 Main St W, Girard, PA 16417 Phone: 814-774-2017 Fax: 814-774-8558 | |
Vision Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 229 West Main St, Girard, PA 16417 Phone: 814-774-2017 |