Individual
DR. DAVID JOSEPH DIMARCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7000 STONEWOOD DR STE 200, WEXFORD, PA 15090-7376
(724) 940-4001
(724) 940-4001
Mailing address
7000 STONEWOOD DR STE 200, WEXFORD, PA 15090-7376
17249404001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030-0000345
VT
152W00000X
Optometrist
Primary
OEG001912
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00070231
BLUE CROSS/BLUESHIELD VT
VT
05
—
1013945
—
VT
01
—
3001328
MVP HEALTHCARE
VT
01
—
9005130
FAHC
VT
01
—
P00419885
RAILROAD MEDICARE
VT
Enumeration date
07/03/2007
Last updated
01/22/2020
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