Individual
KAMERON FAYCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 MCINTYRE SQUARE DR, PITTSBURGH, PA 15237-7301
(412) 364-4700
(412) 364-4628
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003918
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/13/2022
Last updated
07/12/2022
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