Individual
DR. TOD A KOZARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2250 CHEMICAL RD, TARGET OPTICAL, PLYMOUTH MEETING, PA 19462-1716
(610) 276-0045
(610) 276-0047
Mailing address
972 MANOR AVE., MEADOWBROOK, PA 19046-1324
(215) 500-1578
(215) 572-6308
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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