Individual
HOWARD R HARTZELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001116
PA
152W00000X
Optometrist
TA0952
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001269000
—
PA
05
—
0012690000004
—
PA
01
—
0082845000
INDEPENDENCE BLUE CROSS
PA
01
—
1308JC
CAREFIRST BCBS PPO
MD
01
—
50045687
CAPITAL BLUE CROSS
PA
01
—
HA136628
HIGHMARK BLUE SHIELD
PA
01
—
POO218215
RAILROAD MEDICARE
PA
01
—
T274 0003
CAREFIRST BCBS HMO
MD
Enumeration date
03/17/2006
Last updated
06/22/2016
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