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Individual

DR. DAVID RICHARD RAJCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2000 W MARKET ST, SUITE 1, POTTSVILLE, PA 17901-1917
(570) 622-8505
(570) 622-9501
Mailing address
2000 W MARKET ST, SUITE 1, POTTSVILLE, PA 17901-1917
(570) 622-8505
(570) 622-9501

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000856
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000856
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01564901
CAPITAL BLUE CROSS
PA
01
0548646
AETNA
PA
01
109033
HIGHMARK BLUE SHIELD
PA
01
21007
GEISINGER HEALTH PLAN
PA
01
397020
NATIONAL VISION ADMINISTR
PA
01
OEG 000856
VISION BENEFITS OF AMERIC
PA
Enumeration date
12/14/2005
Last updated
02/06/2008
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