Individual
LISA M MONGIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001504280
—
PA
01
—
081377
FIRST PRIORITY HEALTH
—
01
—
15788
GEISINGER HEALTH PLAN
—
01
—
410032103
RAILROAD MEDICARE
—
01
—
506554
AETNA
—
01
—
M0774785
HIGHMARK BLUE SHIELD
—
Enumeration date
08/13/2006
Last updated
03/25/2026
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