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Individual
DR. RICHARD L BRILLIANT
Active
Individual
DR. RICHARD L BRILLIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRY
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000447
PA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OEG000447
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67097
BLUE SHIELD
PA
Enumeration date
12/05/2006
Last updated
09/02/2016
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