Individual
JAMES W RIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
DEG000600
PA
152W00000X
Optometrist
Primary
OEG000600
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01334601
BLUE CROSS
—
01
—
RI5765
BLUE SHIELD
—
Enumeration date
09/02/2005
Last updated
11/03/2022
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