Mongiello, Lisa M

Mongiello, Lisa M is an individual health care provider with primary practice located at 200 Mifflin Ave , Scranton PA 18503. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mongiello, Lisa M can be contacted via phone (570) 342-3145.

Contact Information

Primary practice address
200 Mifflin Ave Scranton PA 18503
Phone: (570) 342-3145
Fax: (570) 344-1309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000231 Pennsylvania

Profile Details

NPI number 1548273600
LBN Legal business name Mongiello, Lisa M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 1st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548273600 NPPES
Other 15788 GEISINGER HEALTH PLAN
MEDICAID 001504280 GEISINGER HEALTH PLAN
Other 506554 GEISINGER HEALTH PLAN
Other M0774785 GEISINGER HEALTH PLAN
Other 410032103 GEISINGER HEALTH PLAN
Other 081377 GEISINGER HEALTH PLAN

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