Individual
BROOK T KRESSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 BROAD ST, SUITE 2020, SEWICKLEY, PA 15143-1500
(412) 741-4610
(412) 741-8967
Mailing address
317 POLO CLUB DR, MOON TWP, PA 15108-4709
(765) 412-0246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG001852
STATE LICENSE
PA
Enumeration date
05/03/2007
Last updated
07/08/2007
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