Individual
MATTHEW P CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3373 LAKE ARIEL HWY, SUITE C, HONESDALE, PA 18431-1174
(570) 253-6551
(570) 253-6553
Mailing address
3373 LAKE ARIEL HWY, SUITE C, HONESDALE, PA 18431-1174
(570) 253-6551
(570) 253-6553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022505
NVA
PA
05
—
1013083160001
—
PA
01
—
819424
FIRST PRIORITY
PA
01
—
94935
GEISINGER
PA
01
—
CO1744970
BLUE CROSS/BLUE SHIELD
PA
01
—
PA91720
VBA
PA
Enumeration date
10/04/2006
Last updated
07/08/2007
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