Individual
DR. KERRY JAMES BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 BERKSHIRE COURT, WYOMISSING, PA 19610-1219
(610) 374-3134
(610) 374-0484
Mailing address
50 BERKSHIRE CT, WYOMISSING, PA 19610-1219
(610) 374-3134
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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