Organization
JEANNETTE E. DRAHUSCHAK
Active
Other names
Grove City Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE E DRAHUSCHAK OPTICIAN (OWNER)
(724) 458-8533
Entity
Organization
Contact information
Practice address
808 W MAIN ST, GROVE CITY, PA 16127-1114
(724) 458-8533
(724) 458-0911
Mailing address
808 W MAIN ST, GROVE CITY, PA 16127-1114
(724) 458-8533
(724) 458-0911
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
6000000009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0779630001
MEDICARE DME
PA
05
—
1014304750001
—
PA
01
—
GR285062
BLUE CROSS
PA
Enumeration date
03/01/2007
Last updated
06/18/2008
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