Individual
JAMES R HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031815000
KEYSTONE HEALTHPLN EAST
PA
Enumeration date
09/20/2005
Last updated
11/07/2024
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