Individual
MR. SCOTT M PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1015 CHESTNUT STREET, SUITE 417, PHILA, PA 19107-4316
(215) 627-4448
(215) 627-5798
Mailing address
1015 CHESTNUT STREET, SUITE 417, PHILA, PA 19107-4316
(215) 627-4448
(215) 627-5798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062224000
BC BS
PA
05
—
0736650001
—
PA
01
—
30037
AETNA
PA
Enumeration date
08/21/2006
Last updated
07/08/2007
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