Individual
DR. CHARLES IVAN RALEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20111 ROUTE 19, 109, CRANBERRY TWP, PA 16066-6207
(724) 741-0900
(724) 741-0915
Mailing address
210 WOODBINE LN, MARS, PA 16046-7126
(724) 779-9717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002167
PA
Other
Enumeration date
04/13/2007
Last updated
05/27/2010
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