| Mary A Desando, OD | |
|
150 Brooklyn St, Carbondale, PA 18407 | |
| (570) 282-7188 | |
| (570) 282-4402 |
| Full Name | Mary A Desando |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 150 Brooklyn St, Carbondale, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417969528 | NPI | - | NPPES |
| 506554 | Other | AETNA | |
| 20969 | Other | GEISINGER HEALTH PLAN | |
| 001163415 | Medicaid | PA | |
| 073339 | Other | FIRST PRIORITY HEALTH | |
| DE567588 | Other | HIGH MARK BLUE SHIELD | |
| 410024727 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000527 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Desando, OD 200 Mifflin Ave, Scranton, PA 18503 Ph: (570) 342-3145 | Mary A Desando, OD 150 Brooklyn St, Carbondale, PA 18407 Ph: (570) 282-7188 |
Donna M Buraczewski, OD Optometrist Medicare: Medicare Enrolled Practice Location: 30 N Church St, Carbondale, PA 18407 Phone: 570-282-4080 Fax: 570-282-6780 | |
Dr. Bradley Dominick Sparks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30 N Church St, Carbondale, PA 18407 Phone: 570-282-4080 |