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Individual

ERIC NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702
(907) 377-1847
Mailing address
112 DARK HOLLOW RD, DUNCANNON, PA 17020-9744
(717) 307-5761

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
116944
AK
152W00000X
Optometrist
OEG002808
PA

Other

Enumeration date
03/04/2013
Last updated
07/03/2018
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