Provider Demographics
NPI:1033245642
Name:TRESKI, AMY ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ANN
Last Name:TRESKI
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 1:1359 BRADFORD LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3845
Mailing Address - Country:US
Mailing Address - Phone:215-639-3081
Mailing Address - Fax:215-245-7522
Practice Address - Street 1:3371 US HIGHWAY 1 UNIT 163
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1307
Practice Address - Country:US
Practice Address - Phone:609-882-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00459600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ155412Medicare ID - Type Unspecified