Justine A. Cakanac, O.D.

Individual provider Active NPI Optometrist · North Huntingdon, PA

NPI 1386603876 · NPPES record last updated Feb 16, 2015

Key facts

NPI
1386603876
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG000583 (PA)
Practice address
8730 Norwin Ave
North Huntingdon, PA 15642-2745
Phone
(724) 864-7777
Fax
(724) 864-7779
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000583 PA Yes

Addresses

Primary practice location

8730 Norwin Ave
North Huntingdon, PA 15642-2745

Mailing address

8730 Norwin Ave
North Huntingdon, PA 15642-2745
Phone (724) 864-7777

Other identifiers

IdentifierTypeStateIssuer
580001006/C30091OtherPARAILROAD MEDICARE-PALMETTO GBA
0017204450002MedicaidPA
026788OtherPAHIGHMARK BLUECROSS BLUESH
1390228OtherPAUMWA HEALTH & RETIREMENT FUNDS

Other providers in North Huntingdon, PA

All providers in North Huntingdon, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.