Individual
CRAIG M MATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
901 N RIVER RD, HALIFAX, PA 17032-8940
(717) 896-3216
(717) 896-3710
Mailing address
901 N RIVER RD, HALIFAX, PA 17032-8940
(717) 896-3216
(717) 896-3710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000037
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG000037
STATE LICENSE #
PA
Enumeration date
06/10/2005
Last updated
02/13/2019
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