Individual
MICHAEL SOLTYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
564 UNION ST, LUZERNE, PA 18709-1245
(570) 288-3336
(570) 283-2682
Mailing address
564 UNION ST, LUZERNE, PA 18709-1245
(570) 288-3336
(570) 283-2682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-007231T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799765
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/15/2006
Last updated
07/08/2007
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