Pisanchyn, Gary Michael

Pisanchyn, Gary Michael is an individual health care provider with primary practice located at 503 S State St , Clarks Summit PA 18411-1557. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pisanchyn, Gary Michael can be contacted via phone (570) 587-5186.

Contact Information

Primary practice address
503 S State St Clarks Summit PA 18411-1557
Phone: (570) 587-5186
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG003475 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 004514-1 New York

Profile Details

NPI number 1598712846
LBN Legal business name Pisanchyn, Gary Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 25th, 2026 - about 8 months 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 1598712846 NPPES
New York MEDICAID 00974465

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