Healthcare Provider Details

I. General information

NPI: 1316189319
Provider Name (Legal Business Name): RED APPLE READING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 WASHINGTON RD SUITE 302
MC MURRAY PA
15317-3279
US

IV. Provider business mailing address

3055 WASHINGTON RD SUITE 302
MC MURRAY PA
15317-3279
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-7323
  • Fax:
Mailing address:
  • Phone: 724-942-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License NumberOEG001598
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1987561
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA BLUES

VIII. Authorized Official

Name: MELISSA R ROMANELLI
Title or Position: BILLING
Credential:
Phone: 724-387-2455