Provider Demographics
NPI:1093708463
Name:KLINGER, RITA ELLEN (OD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:ELLEN
Last Name:KLINGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:ELLEN
Other - Last Name:KLINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:VALLEY VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:17983-0647
Mailing Address - Country:US
Mailing Address - Phone:570-682-3456
Mailing Address - Fax:
Practice Address - Street 1:1170 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:PA
Practice Address - Zip Code:17983-9416
Practice Address - Country:US
Practice Address - Phone:570-682-3456
Practice Address - Fax:570-682-8231
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000601152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist