MEDICARE: CSONKA OPTOMETRIC PC

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	152WC0802X	Corneal and Contact Management Optometrist	OEG000820	PA

General Provider Information

NPI Number	:	1962573469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSONKA OPTOMETRIC PC

Provider Business Mailing Address
First Line	:	6013 BABCOCK BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2502
Country	:	US
Telephone Number	:	412-364-4090
Fax Number	:	412-364-7990

Provider Business Practice Location Address
First Line	:	6013 BABCOCK BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2502
Country	:	US
Telephone Number	:	412-364-4090
Fax Number	:	412-364-7990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID JOSEPH CSONKA
Credential	:	OD
Telephone Number	:	412-364-4090

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/22/2011

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Directions to “CSONKA OPTOMETRIC PC ” Practice Location

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