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Individual
WILLIAM PATRICK GERLACH
Active
Individual
WILLIAM PATRICK GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6033 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 6033 TPA
OPTOMETRY LICENSE
CA
01
—
ZZZ26499Z
TIED WITH MEDICARE GROUP PTAN
CA
Enumeration date
06/07/2006
Last updated
10/08/2009
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