Individual
DR. JON ERIC NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1440 STATE RD, DUNCANNON, PA 17020-9551
(717) 957-4224
(717) 957-4966
Mailing address
1440 STATE RD, DUNCANNON, PA 17020-9551
(717) 957-4224
(717) 957-4966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001572
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401689
HIGHMARK BLUE SHIELD
—
01
—
410002052
TRAVELERS MEDICARE
—
Enumeration date
02/10/2006
Last updated
05/06/2011
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