Diecidue, Anthony S

Diecidue, Anthony S is an individual health care provider with primary practice located at 208 Main St , Stroudsburg PA 18360-2502. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Diecidue, Anthony S can be contacted via phone (570) 476-1114.

Contact Information

Primary practice address
208 Main St Stroudsburg PA 18360-2502
Fax: (570) 476-9520
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000110 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG000110 Pennsylvania
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OEG000110 Pennsylvania
Eye and Vision Services Providers / Pediatrics 152WP0200X OEG000110 Pennsylvania

Profile Details

NPI number 1285630996
LBN Legal business name Diecidue, Anthony S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 9th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285630996 NPPES
Pennsylvania Other 084299 BCBS

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