Individual
GARY L RECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
506 ATHENA DR, DELMONT, PA 15626-1005
(724) 468-6869
(724) 468-6207
Mailing address
506 ATHENA DR, DELMONT, PA 15626-1005
(724) 468-6869
(724) 468-6207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE6001104
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015200410002
—
PA
05
—
356208500
—
MD
Enumeration date
08/15/2005
Last updated
12/20/2016
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