Mary A Desando is a Carbondale, Pennsylvania based female Optometrist with 36 years of experience in Optometry. She completed her graduation from Pennsylvania College Of Optometry in 1988. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary A Desando is OEG000527 for Optometry in Pennsylvania. Mary A Desando examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mary A Desando speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
36+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
1988
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
150 Brooklyn St, Carbondale, Pennsylvania, 18407
Phone:
570-282-7188
Fax:
570-282-4402
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6002959673
Enrollment ID:
I20100204000174
NPI Number:
1417969528
NPI Enumeration Date:
13 Aug, 2006
NPI Last Update On:
01 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary A Desando are as mentioned below.
License Number
Specialization
State
Status
OEG000527
Optometry
Pennsylvania
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mary A Desando has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Vision Innovation Centers Of Pa Llc (0840625349)
72
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary A Desando such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
506554
Other
AETNA
20969
Other
GEISINGER HEALTH PLAN
001163415
Medicaid
Pennsylvania
073339
Other
FIRST PRIORITY HEALTH
DE567588
Other
HIGH MARK BLUE SHIELD
410024727
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 Mifflin Ave, Scranton, Pennsylvania
Zip:
18503
Phone Number:
570-342-3145
Fax Number:
570-344-1309
Patients can reach Mary A Desando at 150 Brooklyn St, Carbondale, Pennsylvania or can call to book an appointment on 570-282-7188. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.