Individual
ERIC G STOCKER
Active
Individual
ERIC G STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
Update your record
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