Individual
CAROL ANN GOUGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
550A WEST STREET RD, WARMINSTER, PA 18974-2775
(215) 443-7706
Mailing address
1017 MUELLER RD, WARMINSTER, PA 18974-2775
(215) 443-9073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000968
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004402129
AETNA
PA
05
—
01617909
—
PA
01
—
597042
BLUE CROSS BLUE SHIELD
PA
Enumeration date
05/05/2006
Last updated
07/08/2007
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