Individual
DR. REBECCA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
160 N GULPH RD, LENS CRAFTERS, KING OF PRUSSIA, PA 19406
(610) 962-5945
(610) 962-5948
Mailing address
160 N GULPH RD, LENS CRAFTERS, KING OF PRUSSIA, PA 19406
(610) 962-5945
(610) 962-5948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODTG00542
RI
152W00000X
Optometrist
Primary
OEG002061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316100126
—
RI
Enumeration date
07/02/2008
Last updated
07/29/2022
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