Individual
WILLIAM KEGERIZE
Active
Individual
WILLIAM KEGERIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037403
—
OH
01
—
5558
STATE LICENSE NUMBER
OH
01
—
P01300310
RAILROAD MEDICARE
OH
Enumeration date
08/02/2005
Last updated
01/15/2019
Update your record
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