Individual
DR. RICHARD J VAHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165770003
DMERC REGION D
PA
01
—
448369
BLUE SHIELD
PA
01
—
50044541
BLUE CROSS
PA
01
—
P00173944
RAIL ROAD MEDICARE
PA
Enumeration date
09/22/2005
Last updated
03/10/2008
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