Individual
DR. BEN ANDREW PILSKALNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001558
VA
152W00000X
Optometrist
5408T2319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010257042
—
VA
05
—
010285691
—
VA
01
—
194019
ANTHEM BCBS SOH PROV #
VA
01
—
194021
ANTHEM BCBS EMP PROV #
VA
01
—
P00325745
RR MEDICARE INDIVIDUAL #
VA
Enumeration date
05/03/2006
Last updated
01/26/2018
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