Provider Demographics
NPI:1821197831
Name:WARSHAWSKY, DAVID J (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:WARSHAWSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1516 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2417
Mailing Address - Country:US
Mailing Address - Phone:717-391-1084
Mailing Address - Fax:717-391-1085
Practice Address - Street 1:2938 COLUMBIA AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7000
Practice Address - Country:US
Practice Address - Phone:717-391-1084
Practice Address - Fax:717-391-1085
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG000094152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA197993QSQMedicare ID - Type Unspecified
PAU37081Medicare UPIN