Individual
DR. SUSAN CHRISTINA MISHOCK-CLAPPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
926 LOGAN VALLEY MALL, ALTOONA, PA 16602-2832
(814) 942-3225
Mailing address
635 WALDO ST, GALLITZIN, PA 16641-2106
(814) 884-2967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7386237
—
PA
01
—
DA50984
DAVIS VISION
PA
01
—
MI964347
BLUE CROSS BLUE SHEILD
PA
01
—
PA8077
EYEMED VISION CARE
PA
Enumeration date
04/06/2006
Last updated
07/08/2007
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