Provider Demographics
NPI:1497747620
Name:MATSCHERZ, REBECCA L (OD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:MATSCHERZ
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 1:406 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-8043
Mailing Address - Country:US
Mailing Address - Phone:724-601-9999
Mailing Address - Fax:
Practice Address - Street 1:406 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-8043
Practice Address - Country:US
Practice Address - Phone:724-601-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001094152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA156518OtherMEDICARE GROUP PIN
PA11544600950OtherOFFICE NPI
PA233824YGFUMedicare PIN
PA11544600950OtherOFFICE NPI