Doctor Name: | MICHAEL J WOLOSCHAK |
NPI Number: | 1073659512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 3579T706 |
Business Practice Address: | 2670 South Raccoon Ste 1 Austintown, OH - 445155344 |
Business Phone Number: | 3307993937 |
Business Fax Number: | 3307991557 |
Mailing Address: | 2670 South Raccoon Ste 1, AUSTINTOWN |
State: | OH |
Postal Code: | 445155344 |
Phone Number: | 3307993937 |
Fax Number: | 3307991557 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 3579T706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |