Individual
DR. DENNIS THADDEUS KWIATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023534000
BS & KEYSTONE EAST
—
01
—
0055308
AETNA HMO
—
05
—
01618352
—
PA
01
—
112504
EYEMED VISION PLAN
—
01
—
36056
DAVIS VISION
—
01
—
396250
NATIONAL VISION ADMINISTR
—
01
—
4404599
AETNA PPO
—
01
—
JE13853
SPECTERA VISION
—
01
—
OEG000183
VISION BENEFITS OF AMERIC
—
Enumeration date
08/18/2006
Last updated
07/22/2009
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