Individual
DR. RAYMOND PETER PUZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
217 N PROVIDENCE RD, WALLINGFORD, PA 19086-6109
(610) 565-6306
Mailing address
217 N PROVIDENCE RD, WALLINGFORD, PA 19086-6109
(610) 565-6306
(610) 565-6493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-002567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001762475
—
PA
01
—
008039
BLUE CROSS
PA
01
—
50263
AETNA
PA
01
—
63076
DAVIS VISION
PA
01
—
91748
NVA
PA
Enumeration date
08/20/2006
Last updated
11/13/2013
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