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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1316100126 | NPPES |
| Rhode Island | MEDICAID | 1316100126 |
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