Individual
DR. TOD A KOZARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET009021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00862590
—
PA
01
—
396928
NATIONAL VISION ADMINISTR
PA
01
—
397170
NATIONAL VISION ADMINISTR
PA
01
—
397253
NATIONAL VISION ADMINISTR
PA
01
—
50154
AETNA
PA
01
—
90463
HIGHMARK
PA
Enumeration date
03/22/2007
Last updated
07/08/2007
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