James M Repko OD

NPI 1003807553 - Optometrist - 152W00000X

NPI Details
NPI 1003807553
Gender Male
Enumeration Date 11/03/2005
Last Updated 01/10/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
505 2ND ST
CRESSON PA, 16630-1224, US
Phone (814) 886-2906
Fax (814) 886-2119
Business Location
505 2ND ST
PO BOX 182
CRESSON PA, 16630-1224, US
Phone (814) 886-2906
Fax (814) 886-2119
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OE-G000703
Remove 1003807553 NPI Number

According to our database, Dr. James M Repko OD NPI is 1003807553, taxonomy code is 152W00000X and license number is OE-G000703, license state is located at Pennsylvania. James M Repko OD physically located at 505 2nd St, Cresson PA, 16630-1224. NPI Number James M Repko OD has the Individual type.

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1003807553 NPI number is provided on an as is basis without warranty of any kind. 1003807553 is maintained by the National Plan & Provider Enumeration System. The contents of James M Repko OD are for informational purposes only.