Individual
VIVIAN DESCANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
950 INDUSTRIAL BLVD, SOUTHAMPTON, PA 18966-4005
(215) 357-8330
(215) 357-9373
Mailing address
950 INDUSTRIAL BLVD, SOUTHAMPTON, PA 18966-4005
(215) 357-8330
(215) 357-9373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0465652000
AMERIHEALTH
PA
01
—
0465652000
KEYSTONE
PW
01
—
2144007
AETNA
PA
01
—
DE106053
BLUE CROSS AND SHIELD
PA
01
—
DE1700448
BLUE CROSS AND SHIELD
PA
01
—
X002692560
AMERICHOICE
PA
Enumeration date
06/04/2006
Last updated
04/14/2009
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