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Individual

ANDREW D. FELTZ

Active
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Individual

ANDREW D. FELTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003492A
IN
152W00000X
Optometrist
27OA00629300
NJ
152W00000X
Optometrist
Primary
4642 T1417
OH
152W00000X
Optometrist
L1374544
MI
152W00000X
Optometrist
OEG002019
PA
152W00000X
Optometrist
TUV007663-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000223970
ANTHEM
OH
01
000000358717
ANTHEM
OH
01
084185
HARVARD PILGRIM
OH
05
102372670 0001
PA
05
2272795
OH
01
410048817
RAILROAD MEDICARE
OH
01
5057556
AETNA
OH
01
9363143
PHCS/LUMENOS
OH
05
D19228
SC
01
P00108045
RAILROAD MEDICARE
OH
01
P00358217
RAILROAD MEDICARE
OH
Enumeration date
07/20/2005
Last updated
06/18/2020
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