MEDICARE: DR. CHRIS J. CAKANAC O.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OB006560A	PA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	410017294	OTHER	PA	PALMETTO GBA, RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	236743	OTHER		ADVANTRA/HEALTHAMERICA
3	110964	OTHER	PA	HIGHMARK BLUECROSSBLUESH
4	4385883	OTHER		AETNA
6	0000110964	OTHER		AMERIHEALTH
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	203498	OTHER	PA	UPMC

NPI Number	:	1619937562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRIS J. CAKANAC O.D.

Provider Business Mailing Address
First Line	:	8730 NORWIN AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2745
Country	:	US
Telephone Number	:	724-864-7777
Fax Number	:	724-864-7779

Provider Business Practice Location Address
First Line	:	8730 NORWIN AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2745
Country	:	US
Telephone Number	:	724-864-7777
Fax Number	:	724-864-7779

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	02/16/2015

19401 N CAVE CREEK RD , #7
PHOENIX, AZ
85024-1801

Practice Phone: 623-229-8185
Practice Fax:

8730 NORWIN AVE
NORTH HUNTINGDON, PA
15642-2745