Provider Demographics
NPI:1013014604
Name:BREUER, RHONDA CATHERINE (OD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:CATHERINE
Last Name:BREUER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 STATE ROUTE 168
Mailing Address - Street 2:
Mailing Address - City:NEW GALILEE
Mailing Address - State:PA
Mailing Address - Zip Code:16141-4115
Mailing Address - Country:US
Mailing Address - Phone:724-336-3453
Mailing Address - Fax:
Practice Address - Street 1:100 CHIPPEWA TOWN CTR
Practice Address - Street 2:WAL-MART VISION CENTER
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1204
Practice Address - Country:US
Practice Address - Phone:724-843-4200
Practice Address - Fax:724-843-7556
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000248152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist