Brajdic, Edward T

Brajdic, Edward T is an sole proprietor health care provider with primary practice located at 1225 S Main St Suite 403, Greensburg PA 15601-5370. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brajdic, Edward T can be contacted via phone (724) 838-7361.

Contact Information

Primary practice address
1225 S Main St Suite 403 Greensburg PA 15601-5370
Phone: (724) 838-7361
Fax: (724) 838-7362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG-000661 Pennsylvania

Profile Details

NPI number 1982617379
LBN Legal business name Brajdic, Edward T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982617379 NPPES
Other 49795 DAVIS VISION
Other OEG-000661 DAVIS VISION
Other 301437 DAVIS VISION
Other T30344 DAVIS VISION
MEDICAID 0009041800001 DAVIS VISION
Other 424494 DAVIS VISION
Other 77790 DAVIS VISION
Other 810224 DAVIS VISION
Other 910224 DAVIS VISION
Other 301437 DAVIS VISION

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