Urosevich, Thomas G.
Urosevich, Thomas G. is an individual health care provider with primary practice located at 126 Market Way , Mt. Pocono PA 18344-3842. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Urosevich, Thomas G. can be contacted via phone (570) 839-3633.Contact Information
Primary practice address
126 Market Way
Mt. Pocono PA 18344-3842
Phone: (570) 839-3633
Fax: (570) 839-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000004 | Pennsylvania |
Profile Details
| NPI number | 1598715450 |
|---|---|
| LBN Legal business name | Urosevich, Thomas G. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 15th, 2020 - about 5 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 | 1598715450 | NPPES |
| Pennsylvania | MEDICAID | 1014583960001 |
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