Individual
DR. JAMES M REPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
505 2ND ST, CRESSON, PA 16630-1224
(814) 886-2906
(814) 886-2119
Mailing address
505 2ND ST, PO BOX 182, CRESSON, PA 16630-1224
(814) 886-2906
(814) 886-2119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-G000703
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009051220004
—
PA
Enumeration date
11/03/2005
Last updated
01/10/2012
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