MEDICARE: DR. ROBERT DAVID STROHECKER 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	OEG000261	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124013453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DAVID STROHECKER O.D.

Provider Business Mailing Address
First Line	:	8 S MAIN ST
Second Line	:
City	:	MANSFIELD
State	:	PA
Zip	:	16933-1508
Country	:	US
Telephone Number	:	570-662-3891
Fax Number	:	570-662-3460

Provider Business Practice Location Address
First Line	:	8 S MAIN ST
Second Line	:
City	:	MANSFIELD
State	:	PA
Zip	:	16933-1508
Country	:	US
Telephone Number	:	570-662-3891
Fax Number	:	570-662-3460

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	04/20/2010

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