Individual
RICHARD CENTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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