MEDICARE: ROMAN O PRAVAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME94998	FL
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD444521	PA
3	207W00000X	Ophthalmology Physician	MD444521	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275582082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMAN O PRAVAK M.D.

Provider Business Mailing Address
First Line	:	800 OSTRUM ST STE 100
Second Line	:
City	:	FOUNTAIN HILL
State	:	PA
Zip	:	18015-1010
Country	:	US
Telephone Number	:	484-526-3010
Fax Number	:	484-526-3591

Provider Business Practice Location Address
First Line	:	800 OSTRUM ST STE 100
Second Line	:
City	:	FOUNTAIN HILL
State	:	PA
Zip	:	18015-1010
Country	:	US
Telephone Number	:	484-526-3010
Fax Number	:	484-526-3591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1366894982 — PRAVAK & ASSOCIATES PC
Practice Location Address:

800 OSTRUM ST STE 100
FOUNTAIN HILL, PA
18015-1010

Practice Phone: 484-526-3010
Practice Fax: 484-526-3591

1255174462 — DARYN JEANNE SHORT
Practice Location Address:

800 OSTRUM ST STE 300
FOUNTAIN HILL, PA
18015-1010

Practice Phone: 484-526-8875
Practice Fax:

1285677005 — KIMMEL AND ASSOCIATES, P.C.
Practice Location Address:

800 OSTRUM ST. , SUITE 100
BETHLEHEM, PA
18015-1010

Practice Phone: 610-954-3010
Practice Fax: 610-954-3591

1316980022 — ANDREW S. KIMMEL M.D.
Practice Location Address:

800 OSTRUM ST. , SUITE 100
BETHLEHEM, PA
18015-1010

Practice Phone: 484-526-3010
Practice Fax: 484-526-3591

1538008594 — JAI TAYLOR
Practice Location Address:

1010 BEARDS HILL RD STE A&B
ABERDEEN, MD
21001-2270

Practice Phone: 410-297-8141
Practice Fax:

1346233053 — DR. EDWARD EUSEBIO VILLANUEVA DPM
Practice Location Address:

2501 GARRETT RD
DREXEL HILL, PA
19026-1010

Practice Phone: 610-623-3540
Practice Fax: 610-623-2327

Directions to “ ROMAN O PRAVAK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.