Individual
WILLIAM BREVARD GOUGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
755 BETHLEHEM PIKE, STE 2A, MONTGOMERYVILLE, PA 18936
(215) 361-8593
Mailing address
1017 MUELLER RD, WARMINSTER, PA 18974-2775
(215) 443-9073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613276
—
PA
01
—
02147
DAVIS VISION
PA
01
—
501522
BLUE CROSS BLUE SHIELD
PA
Enumeration date
04/21/2006
Last updated
07/08/2007
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