Opalka, John D

Opalka, John D is an sole proprietor health care provider with primary practice located at 131 N Mckean St , Kittanning PA 16201-1565. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Opalka, John D can be contacted via phone (724) 543-2702.

Contact Information

Primary practice address
131 N Mckean St Kittanning PA 16201-1565
Fax: (724) 543-5171
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000706 Pennsylvania

Profile Details

NPI number 1235129941
LBN Legal business name Opalka, John D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Feb 6th, 2012 - about 14 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 1235129941 NPPES
Pennsylvania MEDICAID 01720857

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