Individual
DR. KERRY JAMES BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109527
GEISINGER
PA
01
—
1336135003
VSP/VISION SERVICE PLAN
PA
01
—
1727232
HIGHMARK/BLUE SHIELD
PA
01
—
2165780
UNITED HEALTHCARE
PA
01
—
2206957
SECURE HORIZON
PA
01
—
2396184000
INDEPENDENCE BC/BS
PA
01
—
29435/29436
SPECTERA
PA
01
—
50065146
CAPITAL BLUE CROSS/POS/PPO/TRADITIONAL
PA
01
—
532616
HEALTHAMERICA/HEALTH ASSURANCE
PA
01
—
54384001
DAVIS AFFINITY
PA
01
—
7564837
AETNA
PA
01
—
9101041
CIGNA
PA
01
—
NON PAR
DAVIS VISION
PA
01
—
OEG001239
CORESOURCE
PA
01
—
ORG001239
DEVON
PA
01
—
P00398062
MEDICARE RAILROAD
PA
01
—
PA12390
VBA/VISION BENEFITS OF AMERICA
PA
Enumeration date
09/27/2005
Last updated
11/12/2009
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