Individual
DOUGLAS J. GOEPFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1831 E CHOCOLATE AVE, HERSHEY, PA 17033-1124
(717) 533-5990
(717) 533-4072
Mailing address
1831 E CHOCOLATE AVE, HERSHEY, PA 17033-1124
(717) 533-5990
(717) 533-4072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG000399
PA STATE LICENSE
PA
Enumeration date
10/04/2005
Last updated
04/15/2008
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