Individual
DR. HOLLY L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
327 WOODS RD, GLENSIDE, PA 19038-1428
(215) 576-7013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010996430002
—
PA
01
—
512299
BLUE SHIELD
PA
Enumeration date
08/05/2006
Last updated
07/08/2007
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