Individual
ERIC G STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Mailing address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3638T672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127104
ANTHEM BC/BS
—
01
—
0242340001
ADMINISTAR FEDERAL
—
01
—
341096031029
CARESOURCE
OH
01
—
410023295
RAILROAD MEDICARE
—
01
—
OH3638
EYEMED
—
Enumeration date
10/17/2005
Last updated
09/14/2010
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