Individual
LOUIS W MASTRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
490 N KERRWOOD DR, SUITE 203, HERMITAGE, PA 16148-5202
(724) 342-2733
(724) 342-6652
Mailing address
490 N KERRWOOD DR, SUITE 203, HERMITAGE, PA 16148-5202
(724) 342-2733
(724) 342-6652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001321
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214412
—
PA
05
—
418468
—
OH
Enumeration date
11/25/2005
Last updated
09/06/2012
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