MEDICARE: DR. ZARKY S. RUDAVSKY 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	OEG000456	PA

General Provider Information

NPI Number	:	1316919392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZARKY S. RUDAVSKY O.D.

Provider Business Mailing Address
First Line	:	4203 MURRAY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2903
Country	:	US
Telephone Number	:	412-422-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4203 MURRAY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2903
Country	:	US
Telephone Number	:	412-422-2299
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	08/23/2010

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Directions to “ DR. ZARKY S. RUDAVSKY O.D.” Practice Location

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