Individual
MISS TARA LEIGH O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002374
PA
Other
Enumeration date
07/28/2010
Last updated
12/11/2012
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