Individual
GEORGE EDWARD WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
426 MAIN STREET, HARLEYSVILLE, PA 19438
(215) 256-6735
(215) 256-9931
Mailing address
426 MAIN STREET, HARLEYSVILLE, PA 19438
(215) 256-6735
(215) 256-9931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG001408
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048822000
KEYSTONE HEALTH PLAN EAST
—
01
—
037493
BLUE SHIELD
—
Enumeration date
07/11/2006
Last updated
01/22/2013
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