MEDICARE: DR. JOSEPH J RAGLANI 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	OEG000683	PA

General Provider Information

NPI Number	:	1245211192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH J RAGLANI O.D.

Provider Business Mailing Address
First Line	:	PO BOX 449
Second Line	:
City	:	VANDERGRIFT
State	:	PA
Zip	:	15690-0449
Country	:	US
Telephone Number	:	724-568-2661
Fax Number	:	724-567-2340

Provider Business Practice Location Address
First Line	:	135 COLUMBIA AVE
Second Line	:
City	:	VANDERGRIFT
State	:	PA
Zip	:	15690-1101
Country	:	US
Telephone Number	:	724-568-2661
Fax Number	:	724-567-2340

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/28/2010

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