Kozarsky, Tod A
Kozarsky, Tod A is an sole proprietor health care provider with primary practice located at 2250 Chemical Rd Target Optical, Plymouth Meeting PA 19462-1716. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kozarsky, Tod A can be contacted via phone (610) 276-0045.Contact Information
Primary practice address
2250 Chemical Rd Target Optical
Plymouth Meeting PA 19462-1716
Phone: (610) 276-0045
Fax: (610) 276-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OET009021 | Pennsylvania |
Profile Details
| NPI number | 1679699243 |
|---|---|
| LBN Legal business name | Kozarsky, Tod A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679699243 | NPPES |
| Pennsylvania | Other | 396928 | NATIONAL VISION ADMINISTR |
| Pennsylvania | Other | 90463 | NATIONAL VISION ADMINISTR |
| Pennsylvania | Other | 397170 | NATIONAL VISION ADMINISTR |
| Pennsylvania | Other | 397253 | NATIONAL VISION ADMINISTR |
| Pennsylvania | MEDICAID | 00862590 | NATIONAL VISION ADMINISTR |
| Pennsylvania | Other | 50154 | NATIONAL VISION ADMINISTR |
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