Physician Compare National (NPI:1457442790)

HEALTHCARE PROVIDER: SUZANNE PROLEIKA OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457442790
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648431551
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120419000358
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PROLEIKA
	Individual professional last name
Provider First Name	SUZANNE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	390 ROUTE 315 HWY
	Group Practice or individual's line 1 address
City	PITTSTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	186403903
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5708839696
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y