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Individual

DR. MARGARET ANGELA SHIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001294
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001294
PA
152WP0200X
Pediatric Optometrist
OEG001294
PA
152WV0400X
Vision Therapy Optometrist
OEG001294
PA
152WX0102X
Occupational Vision Optometrist
OEG001294
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001458505
HIGHMARK BLUE SHIELD ID
PA
01
2143489000
INDEPENDENCE BLUE CROSS
PA
01
3802451
AETNA HMO PROVIDER NUMBER
PA
01
7686519
AETNA PPO PROVIDER NUMBER
PA
Enumeration date
05/19/2006
Last updated
02/11/2014
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