Individual
RALPH G. WITCHEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2 FARM COLONY DR, WARREN, PA 16365-5203
(716) 484-6700
(716) 487-0166
Mailing address
2 FARM COLONY DR, WARREN, PA 16365-5203
(716) 484-6700
(716) 487-0166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-G000882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008713100001
—
PA
01
—
0604250001
DMERC
—
01
—
151190
GATEWAY
—
01
—
25126
HEALTH AMERICA
—
01
—
304695
UPMC
—
01
—
50320
DAVIS VISION
—
01
—
65836
HEALTHAMERICA
—
01
—
9-5-991-P
VBA
—
01
—
P00207495
R.R. MEDICARE
—
01
—
WI116623
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/12/2006
Last updated
04/19/2021
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