Provider Demographics
NPI:1831265164
Name:WOHL, DOUGLAS B
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:B
Last Name:WOHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W STREET RD STE A
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3227
Mailing Address - Country:US
Mailing Address - Phone:215-443-7706
Mailing Address - Fax:215-443-8795
Practice Address - Street 1:550 W STREET RD STE A
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3227
Practice Address - Country:US
Practice Address - Phone:215-443-7706
Practice Address - Fax:215-443-8795
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician