NPI 1609808880

Robert J Bastaich, OD

Practitioner Optometrist Washington, PA

Practice location

Address: 30 Trinity Point Dr, Washington, PA 15301-2974
Phone: (724) 229-7769
Fax: (724) 229-7792
Mailing address: 119 Porter St, Waynesburg, PA 15370-3605

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence PA 6851-P (PA)

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Registry record

NPI: 1609808880
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.