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Contact Information

ANTHONY S. DIECIDUE P.C.
2571 RTE 6
SUITE 1
HAWLEY, PA18428
 Phone: 570-226-2400
 Fax: 570-226-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANTHONY S. DIECIDUE P.C.

NPI Number 1932644960
LBN Legal business name ANTHONY S. DIECIDUE P.C.
Authorized official JOHN GLASNER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2016
Last updated 12/29/2016 - About 9 years ago
Identifiers
PA License # OEG002146
PA Medicaid 1007411850003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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