Individual
DR. GARY J. HAVRANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1315 6TH AVE, BEAVER FALLS, PA 15010-4213
(724) 843-1870
(724) 843-7275
Mailing address
1315 6TH AVE, BEAVER FALLS, PA 15010-4213
(724) 843-1870
(724) 843-7275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009693170001
—
PA
01
—
410001500
MEDICARE RAILROAD
PA
Enumeration date
10/20/2005
Last updated
11/16/2007
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