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Individual

ANTHONY A KRASNICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
547 MAIN ST, BETHLEHEM, PA 18018-5810
(610) 866-5815
(610) 866-2450
Mailing address
547 MAIN ST, BETHLEHEM, PA 18018-5810
(610) 866-5815
(610) 866-2450

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000045
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000045
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0051223000
INDEPENDENCE BLUE CROSS
PA
01
50009423
CAPITAL BLUE CROSS/CAIC
PA
01
5324073
AETNA
01
KR287711
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/20/2006
Last updated
11/20/2007
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