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Individual

DR. BRIAN D. LOPATIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03191
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115889
BLUE CROSS BLUE SHIELD MO
01
21176
HEALTHCARE
01
22-00106
UNITED HEALTHCARE
01
23056
OPTICARE MED. COMPLETE
05
315083105
MO
01
410048354
RR MEDICARE
IL
01
674835
HEALTHLINK
01
MO3191
EYEMED
01
P00403024
RR MEDICARE
MO
01
PENDING
GROUP HEALTH PLAN
01
U89401
MERCY HEALTH PLANS
01
UNKNOWN
DAVIS VISION
Enumeration date
03/17/2006
Last updated
12/19/2012
Update your record

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