Individual
DR. MARK A SHUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
121 KREWSON LN, CHELTENHAM, PA 19012-1202
(215) 379-1850
Mailing address
121 KREWSON LN, CHELTENHAM, PA 19012-1202
(215) 379-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000935
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0470321000
KEYSTONE EAST
PA
01
—
1684739
BLUE SHIELD
PA
01
—
2248
AETNA HMO
PA
Enumeration date
08/12/2006
Last updated
06/18/2008
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