Individual
EDWARD T BRAJDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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