Provider Demographics
NPI:1952498982
Name:FALBO, JOSEPH D (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:FALBO
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 1:3055 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3279
Mailing Address - Country:US
Mailing Address - Phone:724-942-7323
Mailing Address - Fax:724-941-1295
Practice Address - Street 1:3055 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3279
Practice Address - Country:US
Practice Address - Phone:724-942-7323
Practice Address - Fax:724-941-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0EG001598152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FA448553Medicare ID - Type Unspecified
T30496Medicare UPIN