John Joseph Shedlock in Houtzdale - Optometrist
John Joseph Shedlock - NPI 1184889388
John Joseph Shedlock is a Optometrist in Houtzdale, Pennsylvania. John Joseph Shedlock practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John Joseph Shedlock is 1184889388. The last update date is 2012-09-19.
John Joseph Shedlock's current location address is 612 Clara St Suite 1, Houtzdale, Pennsylvania. You can contact this provider via phone number 8143787700 and fax number 8143787704. The mailing address for John Joseph Shedlock is 612 Clara St Suite 1, Houtzdale, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Shedlock |
|---|---|
| Address | 612 Clara St Suite 1, Houtzdale, Pennsylvania |
| Phone Number | 8143787700 |
| Fax Number | 8143787704 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1184889388 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
| Address | 612 Clara St Suite 1 |
|---|---|
| City | Houtzdale |
| State | Pennsylvania (PA) |
| Post Code | 166519510 |
| Phone Number | 8143787700 |
| Fax Number | 8143787704 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG002084 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102260899 0001 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Joseph Shedlock?
The John Joseph Shedlock has been issued the NPI (National Provider Identifier) 1184889388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Joseph Shedlock's physical address?
The John Joseph Shedlock is physically located at 612 Clara St Suite 1, in the city of Houtzdale, PA, with the postal code 166519510.
What is the John Joseph Shedlock's area of specialization and corresponding taxonomy classification?
The John Joseph Shedlock's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the John Joseph Shedlock receive the assignment of its 1184889388 from the Centers for Medicare & Medicaid Services?
The John Joseph Shedlock was issued its 1184889388 by the Centers for Medicare & Medicaid Services on 2008-07-28.
When was the information related to John Joseph Shedlock most recently updated or refreshed?
The details pertaining to the John Joseph Shedlock, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-19.