Search › Pennsylvania › 152W00000X
Michele Domiano, OD
NPI 1265406730 · on the registry since 2006 · sole proprietor
Practice
- Address
- 189 N Main St
Old Forge, PA 18518 - Phone
- (570) 451-2020
- Fax
- (570) 451-3083
- Organisation at this address
- Michele L Domiano Od Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania