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Contact Information

EDWARD T BRAJDIC, OD
1225 S MAIN ST
SUITE 403
GREENSBURG, PA15601-5370
 Phone: 724-838-7361
 Fax: 724-838-7362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDWARD T BRAJDIC · (Male)

NPI Number 1982617379
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/15/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OEG-000661
  • PA Medicaid 0009041800001
  • Other 77790 AETNA
  • Other 49795 DAVIS VISION
  • Other 810224 EYEMED
  • Other 910224 EYEMED-2ND LOCATION
  • Other T30344 HEALTH AMERICA
  • Other 301437 NVA
  • PA Other 424494 HIGHMARK BLUE SHIELD
  • PA Other OEG-000661 OPTOMETRY LICENSE NO.
  • PA Other 301437 UPMC HEALTH PLAN
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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