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NPI Code Detail

MEDICARE: DR. SCOTT P. RUTKOSKI O.D.

MEDICARE:  DR. SCOTT P. RUTKOSKI  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
1152W00000XOptometristOEG000806PA

Other Identifiers

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

General Provider Information

NPI Number : 1750392775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT P. RUTKOSKI O.D.
Provider Business Mailing Address
First Line : 15 MEADE ST
Second Line : SUITE U-1
City : WELLSBORO
State : PA
Zip : 16901-1813
Country : US
Telephone Number : 570-724-2131
Fax Number : 570-724-5471
Provider Business Practice Location Address
First Line : 15 MEADE ST
Second Line : SUITE U-1
City : WELLSBORO
State : PA
Zip : 16901-1813
Country : US
Telephone Number : 570-724-2131
Fax Number : 570-724-5471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 02/08/2024

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Directions to “ DR. SCOTT P. RUTKOSKI O.D.” Practice Location

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