Individual
MICHAEL JOHN MACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1933 DAILEY AVE, LATROBE, PA 15650-3087
(724) 532-3727
(724) 532-3728
Mailing address
423 PRIMROSE DR, GREENSBURG, PA 15601-9597
(724) 850-8050
(724) 532-3728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000694
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017406
DORAL
PA
05
—
1804008
—
PA
01
—
199862
BLUECROSSBLUESHIELD
PA
01
—
49912
DAVIS
PA
01
—
918348
EYEMED
PA
Enumeration date
01/16/2007
Last updated
11/27/2023
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