Individual
DR. ROSS ALAN GOUKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
204 EXTON SQUARE MALL, EXTON, PA 19341-2442
(610) 594-8311
(610) 363-8545
Mailing address
803 QUAIL WAY, CHESTER SPRINGS, PA 19425-2119
(610) 458-4304
(610) 458-4304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000776
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3421218
AETNA
PA
01
—
GO1354276
BLUE CROSS
PA
Enumeration date
02/22/2007
Last updated
07/08/2007
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