Individual
DR. JOANNA CAROLE KUSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2526 MONROEVILLE BLVD STE 100, MONROEVILLE, PA 15146-2372
(412) 823-2569
(412) 823-2764
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001249
VA
152W00000X
Optometrist
Primary
OET008885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010129265
—
VA
Enumeration date
07/14/2006
Last updated
09/13/2024
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