Organization
GRAYTOK FAMILY VISION CARE
Active
Other names
Mark V Graytok
Organization subpart
No
Provider details
NPI number
Authorized official
TERESE F JUPENA (BILLING COORDINATOR)
(724) 834-8033
Entity
Organization
Contact information
Practice address
235 HUMPHREY ROAD, GREENSBURG, PA 15601-4579
(724) 834-8033
(724) 834-4290
Mailing address
235 HUMPHREY ROAD, GREENSBURG, PA 15601-4579
(724) 834-8033
(724) 834-4290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119480002
NHIC, CORP; DME MAC JURISDICTION A
PA
01
—
410012718
RAILROAD MEDICARE
PA
Enumeration date
10/28/2006
Last updated
10/01/2024
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