Individual
NOELLE K GEHM
Active
Individual
NOELLE K GEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5116 T2015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221564
ANTHEM
OH
01
—
2201982
UNITED HEALTHCARE
OH
05
—
2313517
—
OH
01
—
2814245
AETNA
OH
01
—
311584763027
CARESOURCE
OH
01
—
74312
MOLINA
OH
Enumeration date
02/22/2007
Last updated
01/29/2020
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