Provider Demographics
NPI:1124371620
Name:SAVOCHKA EYE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SAVOCHKA EYE ASSOCIATES, LLC
Other - Org Name:PINNACLE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SAVOCHKA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-760-8079
Mailing Address - Street 1:4128 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3912
Mailing Address - Country:US
Mailing Address - Phone:609-760-8079
Mailing Address - Fax:
Practice Address - Street 1:215 LANCASTER AVE STE F5
Practice Address - Street 2:LINCOLN COURT SHOPPING CENTER
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1874
Practice Address - Country:US
Practice Address - Phone:609-760-8079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-21
Last Update Date:2012-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG 00132300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10257772570001Medicaid
PAU86790Medicare UPIN
PA215752Medicare PIN