Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OET008767 | PA |
NPI | 1013046127 |
---|---|
Provider Name | Dr. Richard Schilling |
First Address | Holmes, PA 19043-1210 |
Second Address | Holmes, PA 19043-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 02/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00932765 | (05) | PA |
T30098 | (02) | PA |