Individual
DR. LOIS JEAN WIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001242
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001242
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001242
PA
152WP0200X
Pediatric Optometrist
OEG001242
PA
152WS0006X
Sports Vision Optometrist
OEG001242
PA
152WV0400X
Vision Therapy Optometrist
OEG001242
PA
152WX0102X
Occupational Vision Optometrist
OEG001242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00254773
RAILROAD MEDICARE
PA
Enumeration date
07/08/2005
Last updated
12/14/2007
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