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1 N Brookside Rd, Springfield, PA 19064-2527 | |
(610) 543-9275 | |
(610) 544-0567 |
Full Name | |
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Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 1 N Brookside Rd, Springfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063524015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Provider Name | Thomas Piorkowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861504839 PECOS PAC ID: 1951349513 Enrollment ID: I20050422001121 |
Provider Name | Anna T Mosheyev |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831202191 PECOS PAC ID: 9739071929 Enrollment ID: I20050908000371 |
Provider Name | Gina Piorkowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285300731 PECOS PAC ID: 0345631941 Enrollment ID: I20211215000583 |
Mailing Address | Practice Location Address |
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1 N Brookside Rd, Springfield, PA 19064-2527 Ph: (610) 543-9275 | 1 N Brookside Rd, Springfield, PA 19064-2527 Ph: (610) 543-9275 |