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Individual

EDWARD T BRAJDIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1225 S MAIN ST, SUITE 403, GREENSBURG, PA 15601-5370
(724) 838-7361
(724) 838-7362
Mailing address
1225 S MAIN ST, SUITE 403, GREENSBURG, PA 15601-5370
(724) 838-7361
(724) 838-7362

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000661
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009041800001
PA
01
301437
UPMC HEALTH PLAN
PA
01
301437
NVA
01
424494
HIGHMARK BLUE SHIELD
PA
01
49795
DAVIS VISION
01
77790
AETNA
01
810224
EYEMED
01
910224
EYEMED-2ND LOCATION
01
OEG-000661
OPTOMETRY LICENSE NO.
PA
01
T30344
HEALTH AMERICA
Enumeration date
08/15/2006
Last updated
03/07/2023
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