Individual
DR. JEFFREY GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000119455
IBX-HIGHMARK
PA
05
—
01301081
—
PA
01
—
0558984000
KEYSTONE HPE
PA
01
—
119455TNB
NOVITAS SOLUTIONS
PA
01
—
171080
BUDD
PA
01
—
32276
DAVIS VISION
PA
01
—
3982183
AETNA HMO
PA
01
—
55779
AETNA HMO
PA
01
—
5902T
VISION BENEFITS OF AMERIC
PA
Enumeration date
08/19/2006
Last updated
04/28/2015
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