Provider / Organization | NPI | Date Certified |
---|---|---|
MONICA ROSE THEROUX | 1023627031 | 2020-07-26 |
Monica Rose Theroux is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023627031. Registration indicates Monica Rose Theroux is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
Registration | PART-B:Y DME:Y HHA:Y PMD:N |
Entity Type | Individual |
Provider Name | Monica Rose Theroux OD |
Practice Office Address | 82 MCCLELLANDTOWN RD UNIONTOWN, PA US |
Practice Office Telephone | 7244371300 |
Mailing Address | 82 MCCLELLANDTOWN RD UNIONTOWN, PA 154015522 US |
Business Telephone | 7244371300 |
Business Fax | 7244375456 |
Code | Practice | License No State |
---|---|---|
152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | OEG003718
PA |