Individual
MARILYN K. BERKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000787
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102035975-0001
—
PA
01
—
25-1548092
VISION BENEFITS OF AMERIC
PA
01
—
5266203
AETNA
PA
Enumeration date
04/17/2006
Last updated
09/23/2008
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