Individual
JAMES R HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11 W LANCASTER AVE, ARDMORE, PA 19003-1417
(610) 642-2151
(610) 642-2190
Mailing address
11 W LANCASTER AVE, ARDMORE, PA 19003-1417
(610) 642-2151
(610) 642-2190
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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