Fernando, Ranga
Fernando, Ranga is an individual health care provider with primary practice located at 2500 W Moreland Rd Suite 3116, Willow Grove PA 19090-4003. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fernando, Ranga can be contacted via phone (215) 784-0160.Contact Information
Primary practice address
2500 W Moreland Rd Suite 3116
Willow Grove PA 19090-4003
Phone: (215) 784-0160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001660 | Pennsylvania |
Profile Details
| NPI number | 1497710032 |
|---|---|
| LBN Legal business name | Fernando, Ranga |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497710032 | NPPES |
| Pennsylvania | Other | 1808042 | HIGH MARK BLUE SHIELD |
| Pennsylvania | Other | 7978616 | HIGH MARK BLUE SHIELD |
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