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Contact Information

JOHN A DUDASH, OD
120 MAIN STREET
NEW EAGLE, PA15067
 Phone: 724-258-3773
 Fax: 724-258-4805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOHN A DUDASH · (Male)

NPI Number 1619065729
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # 0E004668P
  • PA Medicaid 01746334
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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