Individual
DR. TODD MICHAEL KEPPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601800384
VA
152W00000X
Optometrist
Primary
OEG002045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601800384
STATE LICENSE NUMBER
VA
01
—
OEG002045
STATE LICENSE
PA
Enumeration date
11/07/2005
Last updated
08/08/2011
Update your record
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