Individual
MRS. TRICIA LOUISE KORENKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1067 W BALTIMORE PKE, SEARS OPTICAL, MEDIA, PA 19063-5121
(610) 565-3416
(610) 566-6815
Mailing address
927 CRYSTLE ROAD, ASTON, PA 19014-2930
(610) 494-6944
(610) 566-6815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000434794
HIGHMARK BLUE SHIELD
PA
01
—
0316692000
INDEPENDENCE BLUE CROSS
PA
01
—
0970463
AETNA
PA
01
—
397177
NATIONAL VISION ADMINISTR
PA
01
—
PA8087
EYEMED
PA
Enumeration date
07/24/2006
Last updated
02/23/2017
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