Hardic, David

Hardic, David is an individual health care provider with primary practice located at 57 Jenners Village Ctr , West Grove PA 19390-8102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hardic, David can be contacted via phone (610) 869-4200.

Contact Information

Primary practice address
57 Jenners Village Ctr West Grove PA 19390-8102
Fax: (610) 869-2511
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000831 Pennsylvania

Profile Details

NPI number 1235139478
LBN Legal business name Hardic, David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 27th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235139478 NPPES
Pennsylvania MEDICAID 001400099

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