Individual
RALPH E. GILMORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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