Organization
JEAN A ASTORINO OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN ANN ASTORINO O.D. (OWNER)
(610) 892-8767
Entity
Organization
Contact information
Practice address
200 E STATE ST STE 302, MEDIA, PA 19063
(610) 892-8767
(610) 892-2991
Mailing address
200 E STATE ST STE 302, MEDIA, PA 19063-3434
(610) 892-8767
(610) 892-2991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001313
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001313
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363573000
KEYSTONE
PA
01
—
3817331
AETNA
PA
01
—
817167
BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
09/12/2019
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