Individual
DR. RANGA FERNANDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 W MORELAND RD, SUITE 3116, WILLOW GROVE, PA 19090-4003
(215) 784-0160
Mailing address
8460 LIMEKILN PIKE, BUILDING 1 - APARTMENT 528, WYNCOTE, PA 19095
(215) 784-0160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808042
HIGH MARK BLUE SHIELD
PA
01
—
7978616
AETNA
PA
Enumeration date
04/18/2006
Last updated
07/09/2007
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