Individual
KATHERINE DAWN LUVAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
123 CENTER ST, SAINT MARYS, PA 15857-1102
(814) 834-2165
(814) 834-9450
Mailing address
123 CENTER ST, SAINT MARYS, PA 15857-1102
(814) 834-2165
(814) 834-9450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000619
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014279500001
—
PA
01
—
06534300001
MEDICARE DME
PA
01
—
410023276
RAILROAD MEDICARE
PA
01
—
LU487200
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
09/19/2005
Last updated
02/21/2017
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