Kevin Lee Treat, ABOC
Individual provider Active NPI Optician · Falls, PA
NPI 1194332445 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1194332445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 144 Bear Hollow LN
Falls, PA 18615-7777 - Phone
- (570) 378-3099
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
144 Bear Hollow LN
Falls, PA 18615-7777
Mailing address
PO Box 517
Lake Winola, PA 18625-0517
Phone (570) 378-3099
Other providers in Falls, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.