Individual
MICHELLE RENEE TOWNSEND-MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Mailing address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00580700
NJ
152W00000X
Optometrist
27TO00120700
NJ
152W00000X
Optometrist
Primary
OEG000357
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233004476
DEVON
—
01
—
2422650
AETNA
—
01
—
2821078001
CIGNA
PA
01
—
410046373
RAILROAD MEDICARE
PA
01
—
P2784794
OXFORD
—
01
—
T0895511
BC/BS
PA
Enumeration date
05/18/2006
Last updated
12/01/2016
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