Individual
THOMAS J. KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3238 RED LION RD, PHILADELPHIA, PA 19114-1109
(215) 632-7378
(215) 632-1604
Mailing address
3238 RED LION RD, PHILADELPHIA, PA 19114-1109
(215) 632-7378
(215) 632-1604
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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