National Provider Identifier Database

MICHELE L DOMIANO, OD – NPI #1265406730
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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.


Contact Information

MICHELE L DOMIANO, OD
189 N MAIN ST
OLD FORGE, PA18518
Phone: 570-451-2020
Fax: 570-451-3083
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MICHELE L DOMIANO

NPI Number 1265406730
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/14/2006
Last updated 11/20/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD0417368
  • PA License #: OEG000869
  • PA License #: OEO07704T
  • PA Medicaid: 101849890
  • PA Other: 1379469 BLUE CROSS/BLUE SHIELD
  • PA Other: 814343 FIRST PRIORITY HEALTH
Hospital affiliation n/a

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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