Individual
DR. JEAN ANN ASTORINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 E STATE ST, SUITE 302, MEDIA, PA 19063-3434
(610) 892-8767
(610) 892-2991
Mailing address
200 E STATE ST, SUITE 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
—
0846745000
KEYSTONE
PA
01
—
3817331
AETNA
PA
01
—
817167
BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
09/27/2012
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