Individual
JAMES BRADLEY FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001748357
—
PA
01
—
410039581
RAILROAD MEDICARE
—
01
—
508554
AETNA
—
01
—
52606
GELSINGER HEALTH PLAN
—
01
—
808408
FIRST PRIORITY HEALTH
—
01
—
FL461597
HIGH MARK BLUE SHIELD
—
Enumeration date
08/13/2006
Last updated
03/21/2026
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