Individual
RICHARD CENTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
108 OLDE FARM OFFICE RD, DUNCANSVILLE, PA 16635-9417
(814) 695-3141
(814) 696-4780
Mailing address
108 OLDE FARM OFFICE RD, DUNCANSVILLE, PA 16635-9417
(814) 695-3141
(814) 696-4780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000140214
HIGHMARK
PA
05
—
0009716380005
—
PA
01
—
251387446
UNITED HEALTHCARE
—
01
—
410000870
MEDICARE RAILROAD
—
Enumeration date
06/17/2006
Last updated
09/27/2011
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