Individual
MARK STEVEN RAKOCZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
141 E MAIN ST, EVERETT, PA 15537-1259
(814) 652-6221
(814) 652-9143
Mailing address
141 E MAIN ST, EVERETT, PA 15537-1259
(814) 652-6221
(814) 652-9143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010341570002
—
PA
01
—
204217
UPMC
PA
Enumeration date
10/07/2005
Last updated
11/30/2017
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