Individual
MICHELLE RENEE TOWNSEND-MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
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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