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Individual

DR. THEODORE R SAMES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000971
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011379400002
PA
01
206767
UPMC
PA
01
251591408
UNITED HEALTHCARE
PA
01
452689
AETNA
PA
01
532373
HIGHMARK
PA
01
6363107
CIGNA
PA
01
T98260
HEALTHAMERICA
PA
Enumeration date
01/17/2006
Last updated
04/22/2008
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