Provider Demographics
NPI:1811953938
Name:HARAKAL, DAVID (OD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HARAKAL
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 1:3129 OXFORD CIR S
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2840
Mailing Address - Country:US
Mailing Address - Phone:610-395-9242
Mailing Address - Fax:610-395-9242
Practice Address - Street 1:1088 HOWERTOWN RD
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1615
Practice Address - Country:US
Practice Address - Phone:610-264-4664
Practice Address - Fax:610-264-5202
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG 000181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA68477OtherHIGHMARK BLUE SHIELD
PA1493401OtherBLUE CROSS
PA992293OtherKHPC
PA3550329OtherAETNA USHC
PAP00145048Medicare PIN
PA992293OtherKHPC
PA3550329OtherAETNA USHC