Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG000737 | PA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OEG000737 | PA |
N | 152WS0006X | Sports Vision | OEG000737 | PA |
NPI | 1285826461 |
---|---|
Provider Name | Dr. John J Trant |
First Address | Wexford, PA 15090-8790 |
Second Address | Wexford, PA 15090-8790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 13/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1896021 | HIGHMARK (01) | PA |
1962554501 | NPI ENTITY 2-ORGANIZATION (01) | PA |