Provider Demographics
NPI:1598856742
Name:SAVOCHKA, JASON MICHAEAL (OD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:MICHAEAL
Last Name:SAVOCHKA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 LANCASTER AVE
Mailing Address - Street 2:F5
Mailing Address - City:FRAZER
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1874
Mailing Address - Country:US
Mailing Address - Phone:484-318-7851
Mailing Address - Fax:484-318-7849
Practice Address - Street 1:215 LANCASTER AVE
Practice Address - Street 2:F5
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1874
Practice Address - Country:US
Practice Address - Phone:484-318-7851
Practice Address - Fax:484-318-7849
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE008416T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027772570001Medicaid
PAU86790Medicare UPIN