Dr. James M Repko
Optometrist
505 2nd St
Cresson
, Pennsylvania 16630-1224
Dr. James M Repko
Optometrist
505 2nd St
Cresson
, Pennsylvania 16630-1224
(814) 886-2119
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. James M Repko
- 505 2nd St Po Box 182
- Cresson, PA
- Zip : 16630-1224
- Fax : (814) 886-2119
- Phone : (814) 886-2906
Second Address
- Dr. James M Repko
- 505 2nd St
- Cresson, PA
- Zip : 16630-1224
- Fax : (814) 886-2119
- Phone : (814) 886-2906
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OE-G000703 | PA |
National Provider Identifier
| NPI | 1003807553 |
|---|---|
| Provider Name | Dr. James M Repko |
| First Address | Cresson, PA 16630-1224 |
| Second Address | Cresson, PA 16630-1224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2005 |
| Last Update Date | 10/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0009051220004 | (05) | PA |
| T72765 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.