Provider Demographics
NPI:1548258577
Name:SZOKO, MICHAEL EDWARD (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:SZOKO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 BEULAH RD
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-1101
Mailing Address - Country:US
Mailing Address - Phone:412-824-1510
Mailing Address - Fax:412-824-7707
Practice Address - Street 1:700 BEULAH RD
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-1101
Practice Address - Country:US
Practice Address - Phone:412-824-1510
Practice Address - Fax:412-824-7707
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-G000533152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA308545OtherUPMC
PASZ071962OtherHIGHMARK BC/BS
PA01728612Medicaid
PA507629OtherAETNA
PAT28168Medicare UPIN
PA308545OtherUPMC