| Dr Michele L Domiano, OD | |
| 
					189 N Main St, Old Forge, PA 18518  | |
| (570) 451-2020 | |
| (570) 451-3083 | 
| Full Name | Dr Michele L Domiano | 
|---|---|
| Gender | Female | 
| Speciality | |
| Experience | Years | 
| Location | 189 N Main St, Old Forge, Pennsylvania | 
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265406730 | NPI | - | NPPES | 
| 101849890 | Medicaid | PA | |
| 814343 | Other | PA | FIRST PRIORITY HEALTH | 
| 1379469 | Other | PA | BLUE CROSS/BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OEG000869 (Pennsylvania) | Primary | 
| 152W00000X | Optometrist | MD0417368 (Pennsylvania) | Secondary | 
| 152W00000X | Optometrist | OEO07704T (Pennsylvania) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michele L Domiano, OD 189 N Main St, Old Forge, PA 18518 Ph: (570) 451-2020  | Dr Michele L Domiano, OD 189 N Main St, Old Forge, PA 18518 Ph: (570) 451-2020  | 
Michele L Domiano Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 189 North Main Street, Old Forge, PA 18518 Phone: 570-451-2020 Fax: 570-451-3083  | |
Ben Domiano Optical Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 817 S Main St, Old Forge, PA 18518 Phone: 570-457-2020 Fax: 570-457-2787  |