Individual
BARBARA WYWIORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000523
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014887860003
—
PA
01
—
10893
GEISINGER
PA
01
—
3289060
AETNA
—
01
—
816925
FIRST PRIORITY
PA
01
—
WY1511629
BLUE SHIELD
PA
Enumeration date
07/26/2005
Last updated
11/15/2012
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