Individual
DR. RANGA FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
07/13/2026
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