| Blake A Housler Od Inc | |
| 
					175 N Fraley St, Kane, PA 16735-1164  | |
| (814) 837-7880 | |
| (814) 837-0883 | 
| Full Name | Blake A Housler Od Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 175 N Fraley St, Kane, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407046451 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OEG000844 (Pennsylvania) | Primary | 
| Provider Name | Tania Malara | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003966839 PECOS PAC ID: 6507965589 Enrollment ID: I20070618000112  | 
| Provider Name | Christine Hajduk | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1245301191 PECOS PAC ID: 7517918303 Enrollment ID: I20070815000219  | 
| Provider Name | Brandan J Housler | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1619131174 PECOS PAC ID: 6103096318 Enrollment ID: I20110825000654  | 
| Provider Name | Christian Howard | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1043329196 PECOS PAC ID: 0648392134 Enrollment ID: I20111214000164  | 
| Provider Name | Blake Andrew Housler | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1285018952 PECOS PAC ID: 1153630157 Enrollment ID: I20151014000066  | 
| Provider Name | Faryal Azam | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1538416698 PECOS PAC ID: 5395012728 Enrollment ID: I20170606001802  | 
| Provider Name | Michele Kane | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578082376 PECOS PAC ID: 6204194996 Enrollment ID: I20180102000769  | 
| Provider Name | Leann Goslak | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1205915451 PECOS PAC ID: 0840473484 Enrollment ID: I20210827000269  | 
| Provider Name | Theresa Vo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20210830001100  | 
| Provider Name | Christine Kantor | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1235145764 PECOS PAC ID: 6103821921 Enrollment ID: I20210902002764  | 
| Provider Name | Deanna Ippolito | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20210913002848  | 
| Provider Name | Saadi M Darvish | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20220111000655  | 
| Provider Name | Jennifer Gipp | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20230724000181  | 
| Provider Name | Tesia Reed | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1104388800 PECOS PAC ID: 4981023124 Enrollment ID: I20230808000000  | 
| Provider Name | Joseph Pruitt | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1477752913 PECOS PAC ID: 8921187477 Enrollment ID: I20230814001811  | 
| Provider Name | Sheila Bogart | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902859812 PECOS PAC ID: 8527166305 Enrollment ID: I20240110000467  | 
| Provider Name | Kyle Langr | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1316257827 PECOS PAC ID: 2264742469 Enrollment ID: I20240725002051  | 
| Provider Name | April Wellons | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1154474336 PECOS PAC ID: 8527045939 Enrollment ID: I20240920000899  | 
| Provider Name | Cubdeerix Robinson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1275207839 PECOS PAC ID: 3173905262 Enrollment ID: I20241007002708  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Blake A Housler Od Inc 175 N Fraley St, Kane, PA 16735-1164 Ph: (814) 837-7880  | Blake A Housler Od Inc 175 N Fraley St, Kane, PA 16735-1164 Ph: (814) 837-7880  | 
Dr. Christian J Howard, OD Optometrist Medicare: Medicare Enrolled Practice Location: 175 N Fraley St, Kane, PA 16735 Phone: 814-837-7880 Fax: 814-837-0883  | |
Dr. Blake A Housler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 N Fraley St, Kane, PA 16735 Phone: 814-837-7880 Fax: 814-837-0883  |