Provider Demographics
NPI:1831182245
Name:RHOADS, MATZ, USUKA, P.C.
Entity type:Organization
Organization Name:RHOADS, MATZ, USUKA, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:KLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-682-3456
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:VALLEY VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:17983-0647
Mailing Address - Country:US
Mailing Address - Phone:570-682-3456
Mailing Address - Fax:570-682-8231
Practice Address - Street 1:1170 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:PA
Practice Address - Zip Code:17983-9416
Practice Address - Country:US
Practice Address - Phone:570-682-3456
Practice Address - Fax:570-682-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty