Provider Demographics
NPI:1053373993
Name:LAUGHLIN, RHONDA A (OD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:A
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5142 ROUTE 30
Mailing Address - Street 2:170
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6692
Mailing Address - Country:US
Mailing Address - Phone:724-832-1055
Mailing Address - Fax:724-832-5755
Practice Address - Street 1:5142 ROUTE 30
Practice Address - Street 2:170
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6692
Practice Address - Country:US
Practice Address - Phone:724-832-1055
Practice Address - Fax:724-832-5755
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014292750002Medicaid
PA396708OtherNVA
PA0017702OtherUPMC FOR YOU
PAPA07510OtherVBA
PALA178552OtherBLUE SHIELD
PA251719833OtherVISION SERVICE PLAN
PA252658OtherUPMC
PA112815OtherEYEMED
PA1171040001Medicare NSC
PA252658OtherUPMC
PAU44608Medicare UPIN