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Contact Information

GARY E OLIVER, OD
4590 EDGMONT AVE
BROOKHAVEN, PA19015-1728
 Phone: 610-872-6077
 Fax: 610-872-2845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GARY E OLIVER · (Male)

NPI Number 1720170251
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/29/2006
Last updated 02/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # TUV005129
  • PA License # OEG001880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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