Individual
THOMAS J. KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700264
—
PA
01
—
0235287000
KEYSTONE
—
01
—
195286
JOHN HANCOCK
—
01
—
32343
DAVIS VISION
—
01
—
4408045
AETNA PPO
—
01
—
459371
US HEALTHCARE
—
01
—
KE445341
PA BLUE CROSS
—
01
—
PA07182
VBA
—
01
—
PA15934
QUALMED
—
01
—
U38207
UPIN
—
Enumeration date
10/04/2006
Last updated
12/17/2024
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