Dedionisio, Angela Marie

Dedionisio, Angela Marie is an individual health care provider with primary practice located at 38 Rossanley Dr , Medford OR 97501. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dedionisio, Angela Marie can be contacted via phone (561) 275-2020.

Contact Information

Primary practice address
38 Rossanley Dr Medford OR 97501
Phone: (561) 275-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG003059 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 4383AT Oregon

Profile Details

NPI number 1417339359
LBN Legal business name Dedionisio, Angela Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2015
Last updated Aug 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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