MEDICARE: KARA COOK RITCHEY O.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	152W00000X	Optometrist	OEG000247	PA

General Provider Information

NPI Number	:	1891791307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA COOK RITCHEY O.D.

Provider Business Mailing Address
First Line	:	2480 MILLER AVE
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-9704
Country	:	US
Telephone Number	:	814-643-3082
Fax Number	:	814-641-2020

Provider Business Practice Location Address
First Line	:	828 WASHINGTON ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1726
Country	:	US
Telephone Number	:	814-643-2020
Fax Number	:	814-641-2020

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	09/24/2008

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