Provider Demographics
NPI:1013060300
Name:LINK, WAYNE H (OD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:H
Last Name:LINK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:297 EVANS CITY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2754
Mailing Address - Country:US
Mailing Address - Phone:724-283-7777
Mailing Address - Fax:724-283-7303
Practice Address - Street 1:297 EVANS CITY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2754
Practice Address - Country:US
Practice Address - Phone:724-283-7777
Practice Address - Fax:724-283-7303
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000E4748L152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist