Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OE005035T | PA |
NPI | 1164472429 |
---|---|
Provider Name | Dr. Barton B. Rack |
First Address | Pittsburgh, PA 15205-2029 |
Second Address | Pittsburgh, PA 15205-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 20/05/2011 |