Organization
MARK S. RAKOCZY, O.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN RAKOCZY OD (OWNER)
(814) 652-6221
Entity
Organization
Contact information
Practice address
141 E MAIN ST, EVERETT, PA 15537-1259
(814) 652-6221
Mailing address
141 E MAIN ST, EVERETT, PA 15537-1259
(814) 652-6221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010341570002
—
PA
Enumeration date
01/10/2018
Last updated
02/01/2018
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