Provider Demographics
NPI:1942439013
Name:MCGRATH, MICHAEL TERRANCE (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:TERRANCE
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:391 EVANS CITY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-283-8144
Mailing Address - Fax:724-283-7303
Practice Address - Street 1:391 EVANS CITY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-283-8144
Practice Address - Fax:724-283-7303
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA 2145152W00000X
PAOEG002314152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist