Graytok, Mark Vincent
Graytok, Mark Vincent is an sole proprietor health care provider with primary practice located at 235 Humphrey Rd Two Pineview Place-Suite1, Greensburg PA 15601-4579. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Graytok, Mark Vincent can be contacted via phone (724) 834-8033.Contact Information
Primary practice address
235 Humphrey Rd Two Pineview Place-Suite1
Greensburg PA 15601-4579
Phone: (724) 834-8033
Fax: (724) 834-4290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001356 | Pennsylvania |
Profile Details
NPI number | 1952373318 |
---|---|
LBN Legal business name | Graytok, Mark Vincent |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 1st, 2006 |
Last updated | Jun 28th, 2013 - about 11 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952373318 | NPPES |
Pennsylvania | Other | 533151 | HIGHMARK BCBS |
Pennsylvania | Other | 54317 | HIGHMARK BCBS |
Pennsylvania | Other | 250860 | HIGHMARK BCBS |
Pennsylvania | MEDICAID | 0011668350003 | HIGHMARK BCBS |
Pennsylvania | Other | 2090347 | HIGHMARK BCBS |
Pennsylvania | Other | 251638621 | HIGHMARK BCBS |
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