Kozak, Rebecca

Kozak, Rebecca is an individual health care provider with primary practice located at 160 N Gulph Rd Lens Crafters, King Of Prussia PA 19406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kozak, Rebecca can be contacted via phone (610) 962-5945.

Contact Information

Primary practice address
160 N Gulph Rd Lens Crafters King Of Prussia PA 19406
Phone: (610) 962-5945
Fax: (610) 962-5948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002061 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00542 Rhode Island

Profile Details

NPI number 1316100126
LBN Legal business name Kozak, Rebecca
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 29th, 2022 - about 3 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 1316100126 NPPES
Rhode Island MEDICAID 1316100126

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