Individual
DR. MARK VINCENT GRAYTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
235 HUMPHREY RD, TWO PINEVIEW PLACE-SUITE1, GREENSBURG, PA 15601-4579
(724) 834-8033
(724) 834-4290
Mailing address
235 HUMPHREY RD, TWO PINEVIEW PLACE-SUITE1, GREENSBURG, PA 15601-4579
(724) 834-8033
(724) 834-4290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011668350003
—
PA
01
—
2090347
AETNA
PA
01
—
250860
VPMC
PA
01
—
251638621
UNITED HEALTHCARE
PA
01
—
533151
HIGHMARK BCBS
PA
01
—
54317
HEALTH AMERICA HEATH ASS
PA
Enumeration date
02/01/2006
Last updated
06/28/2013
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