Individual
RICHARD H GOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
226 ELM DRIVE, SUITE 101, WAYNESBURG, PA 15370
(304) 598-3301
(304) 599-7346
Mailing address
1255 PINEVIEW DR, MORGANTOWN, WV 26505-2713
(304) 598-3301
(304) 599-7346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OB008540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009844490004
—
PA
Enumeration date
12/13/2006
Last updated
07/08/2007
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