Individual
MR. MATTHEW TREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
567 E 3RD ST, WILLIAMSPORT, PA 17701-5316
(570) 323-8000
(570) 326-2880
Mailing address
3530 WEIKERT RD, MILLMONT, PA 17845-9311
(570) 323-8000
(570) 326-2880
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OEG-001458
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG-001458
STATE LICENSE
PA
Enumeration date
02/26/2007
Last updated
07/09/2007
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