Individual
DR. RICHARD O. WAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 TOWN CENTRE DR, JOHNSTOWN, PA 15904-2844
(814) 269-3937
(814) 266-5431
Mailing address
128 LAYTON LN, JOHNSTOWN, PA 15904-4018
(814) 269-3937
(814) 266-5431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET-008942
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071534040002
—
PA
Enumeration date
09/17/2006
Last updated
07/08/2007
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