Provider Demographics
NPI:1922105295
Name:ANDREW PRISCHAK OD
Entity Type:Organization
Organization Name:ANDREW PRISCHAK OD
Other - Org Name:VISION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRISCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-774-2017
Mailing Address - Street 1:229 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417
Mailing Address - Country:US
Mailing Address - Phone:814-774-2017
Mailing Address - Fax:
Practice Address - Street 1:229 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417
Practice Address - Country:US
Practice Address - Phone:814-774-2017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-005284T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015023100002Medicaid
PA1922105295OtherPA BCBS - HIGHMARK BLUE CROSS & BLUE SHIELD OF PENNSYLVANIA
PA0352810002Medicare NSC
PA1922105295OtherPA BCBS - HIGHMARK BLUE CROSS & BLUE SHIELD OF PENNSYLVANIA
PA060819Medicare Oscar/Certification