Individual
RALPH E. GILMORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
547 MAIN ST, BETHLEHEM, PA 18018-5810
(610) 866-5815
(861) 866-2450
Mailing address
547 MAIN ST., BETHLEHEM, PA 18018-5810
(610) 866-5815
(610) 866-2450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01994101
CAPITAL BLUE CROSS/ CAIC
PA
01
—
0471935000
INDEPENDENCE BLUE CROSS
PA
01
—
5843508
AETNA
PA
01
—
9423059
PRIVATE HEALTHCARE SYSTEM
PA
01
—
GI641469
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/12/2006
Last updated
07/08/2007
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