Organization
THE EYECARE BOUTIQUE, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L MATSCHERZ O.D. (PRESIDENT)
(724) 940-0150
Entity
Organization
Contact information
Practice address
11279 PERRY HWY, WEXFORD, PA 15090-9381
(724) 940-0150
(724) 940-0244
Mailing address
11279 PERRY HWY, WEXFORD, PA 15090-9381
(724) 940-0150
(724) 940-0244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001094
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497747620
INDIVIDUAL NPI
PA
Enumeration date
02/06/2007
Last updated
06/16/2008
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