Individual
DR. DIANE MARY CONNESS-JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000204
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031111
BLUE CROSS BLUE SHIELD ID
VA
01
—
1744962
AETNA HMO
VA
01
—
211872
UNITED HEALTHCARE/OPT CH.
VA
01
—
22-00012
UNITEDHEALTHCARE
VA
01
—
4308449
AETNA PPO ID#
VA
01
—
54-1330725
CIGNA
VA
01
—
965551
AETNA HMO ID#
VA
Enumeration date
04/01/2006
Last updated
04/07/2008
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