Provider Demographics
NPI:1376554758
Name:MONICA L. RECHICHAR OD PC
Entity Type:Organization
Organization Name:MONICA L. RECHICHAR OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RECHICHAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-984-6914
Mailing Address - Street 1:412 OLYMPIA RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1308
Mailing Address - Country:US
Mailing Address - Phone:724-984-6914
Mailing Address - Fax:
Practice Address - Street 1:231 MALL CIRCLE DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2203
Practice Address - Country:US
Practice Address - Phone:412-856-9505
Practice Address - Fax:412-856-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001282152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01972907Medicaid
PAU97315Medicare UPIN
PA01972907Medicaid