Individual
DR. MICHAEL DENNIS REDDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
32 HUMMER RD, EPHRATA, PA 17522-1507
(717) 733-0148
(717) 733-3637
Mailing address
32 HUMMER RD, EPHRATA, PA 17522-1507
(717) 733-0148
(717) 733-3637
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1325255
HIGHMARK BLUE SHIELD
PA
01
—
231939118
VISION SERVICE PLAN
PA
01
—
50034659
CAPITAL BLUE CROSS
PA
01
—
U85983
ADVANTRA
PA
01
—
U89583
HEALTH AMERICA
PA
Enumeration date
06/08/2005
Last updated
01/02/2012
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