Organization
KEVIN REHAK, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN REHAK OD (OWNER)
(610) 948-7000
Entity
Organization
Contact information
Practice address
301 N LEWIS RD, #165, ROYERSFORD, PA 19468-1531
(610) 948-7000
Mailing address
301 N LEWIS RD, #165, ROYERSFORD, PA 19468-1531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
5994900001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5994900001
DME SUPPLIER
—
Enumeration date
10/22/2007
Last updated
06/16/2008
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