Organization
CHRISTOPHER R RUGABER OD LLC
Active
Other names
Chicora Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ROBERT RUGABER OD (MEMBER)
(724) 445-3901
Entity
Organization
Contact information
Practice address
104 W SLIPPERY ROCK ST, BOX 550, CHICORA, PA 16025-3212
(724) 445-3901
(724) 445-0031
Mailing address
104 W SLIPPERY ROCK ST, BOX 550, CHICORA, PA 16025-3212
(724) 445-3901
(724) 445-0031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD 4305
MEDICAREPIN (RR)
—
Enumeration date
05/19/2006
Last updated
02/12/2011
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