Individual
RANDY J KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Mailing address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000917
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019471090001
—
PA
01
—
410009570
RR MEDICARE INDIVIDUAL
—
01
—
CF3515
RAILROAD MEDICARE GROUP #
—
Enumeration date
11/03/2005
Last updated
05/04/2023
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