DR. MICHAEL RICHARD JOSEFOWICZ JR. (NPI# 1164465795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164465795 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD JOSEFOWICZ JR. |
| Credential | O.D. |
| Practice Address |
703 Rutter Ave Kingston PA 18704-4801 |
| Practice Telephone | 4105718733 |
| Practice Fax Number | 5702887406 |
| Mailing Telephone | 5702887406 |
| Mailing Fax Number | 5702887406 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000229 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DAVIS VISION | 9866 | 01 |
| PA | EYEMED | 938921 | 01 |
| PA | BLUE CROSS | JO896903 | 01 |
| PA | NVA | 397325 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Lackawanna Ave, Suite 118, Scranton, PA 185032012 | 5703423100 | 5703423039 |
| Street Address |
703 RUTTER AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449977 | Richard E Roth | Ophthalmology | 703 Rutter Ave, Kingston, PA 18704-4801 | 2005-06-29 |
| 1962046458 | Vision Innovation Centers of Pa LLC | Ophthalmology | 703 Rutter Ave, Kingston, PA 18704-4801 | 2019-10-29 |
| 1851731970 | Kristen Epting | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2013-07-03 |
| 1306049598 | Tara M. Farrell | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2007-06-06 |
| 1386846251 | Daniel J Lutz | Ophthalmology | 703 Rutter Ave, Kingston, PA 18704-4801 | 2007-06-04 |
| 1366597056 | Nicole Marie Schwartz | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2007-01-24 |
| 1053413633 | Carrie Allgeier Cardillo | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2006-09-02 |
| 1487760211 | Robert William Lloyd | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2006-08-22 |
| 1881618023 | Joshua Hedaya | Ophthalmology | 703 Rutter Ave, Kingston, PA 18704-4801 | 2006-07-27 |
| 1033149331 | Darrell Evans | Optometrist | 703 Rutter Ave, Kingston, PA 18704-4801 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003194671 | Vardaan Sood | Optometrist | 9 Boices Ln, Empire Vision Centres, Kingston, NY 12401-1512 | 2011-07-29 |
| 1033412374 | John J Lee Od PC | Optometrist | 101 Independence Mall Way Ste C104, Kingston, MA 02364-2285 | 2010-12-08 |
| 1487818019 | John J Lee, O.d. | Optometrist | 101 Independence Mall Way # C104, Kingston, MA 02364-3048 | 2008-07-13 |
| 1205098050 | University Optometrist Services Inc | Optometrist | 50 Lower College Rd, Kingston, RI 02881 | 2008-07-01 |
| 1740482355 | Robert Sharpley Parker IIi | Optometrist | 931 W Race St, Suite A, Kingston, TN 37763-2123 | 2007-06-05 |
| 1851507396 | Steven Hertzberg | Optometrist | 1300 Ulster Ave Ste 259, Kingston, NY 12401-8103 | 2007-05-14 |
| 1558488262 | Eye Care Centers Pllc | Optometrist | 509 N Kentucky St, Kingston, TN 37763-2630 | 2007-03-26 |
| 1013033067 | Robert Eli Brown | Optometrist | 693 W Market St, Kingston, PA 18704-3422 | 2007-03-21 |
| 1043355993 | Dawn O'shea Michael | Optometrist | 50 Lower College Road, Kingston, RI 02881-0820 | 2007-02-20 |
| 1144312885 | Augustus Guarente | Optometrist | 240 Lucas Ave, Kingston, NY 12401-4316 | 2006-09-29 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on DR. MICHAEL RICHARD JOSEFOWICZ JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.