DR. ANTHONY S DIECIDUE (NPI# 1285630996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285630996 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY S DIECIDUE |
| Credential | O.D. |
| Practice Address |
208 Main St Stroudsburg PA 18360-2502 |
| Practice Telephone | 5704761114 |
| Practice Fax Number | 5704769520 |
| Mailing Telephone | 5704761114 |
| Mailing Fax Number | 5704769520 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000110 | PA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OEG000110 | PA | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OEG000110 | PA | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
OEG000110 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BCBS | 084299 | 01 |
| Street Address |
208 MAIN ST |
| City | STROUDSBURG |
| State | PA |
| Zip Code | 18360-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626827 | Reed Bradley Pett | Optometrist | 208 Main St, Stroudsburg, PA 18360-2541 | 2020-07-17 |
| 1396185757 | Eric Paul Bennicoff | Optometrist | 208 Main St, Stroudsburg, PA 18360-2575 | 2013-07-01 |
| 1487817896 | John Joseph Glasner Iv | Optometrist | 208 Main St, Stroudsburg, PA 18360-2575 | 2008-07-07 |
| 1962513937 | Anthony S. Diecidue, P.C. | Optometrist | 208 Main St, Stroudsburg, PA 18360-2502 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026219 | Kelly Lynn Yawger | Acupuncturist | 26 Doolan Road, Dingmans Ferry, PA 18360 | 2019-01-04 |
| 1063982635 | Jennifer Bartell | Pharmacist | 1070 N. Ninth Street, Stroudsburg, PA 18360 | 2018-11-27 |
| 1447755426 | A Mindful Insight Counseling, LLC | Counselor | 900 Scott St, Stroudsburg, PA 18360 | 2018-03-29 |
| 1245735604 | Bix Homes Inc. | Nurse Practitioner | 1318 N 5th St, Stroudsburg, PA 18360 | 2018-03-28 |
| 1508365917 | Jennifer Joan Allen | Counselor | 105 Terrace Drive, Po Box 288, Stroudsburg, PA 18360 | 2018-02-12 |
| 1770006066 | Earlina Elizabeth Rivers | Early Intervention Provider Agency | 5209 Boxwood Lane, Stroudsburg, PA 18360 | 2017-07-19 |
| 1972036804 | Brandt Maloney | Family Medicine | 484 N Easton Belmont Pike, Stroudsburg, PA 18360 | 2017-04-07 |
| 1801336409 | Monroe County Counseling Services, LLC | Counselor | 18 North 7th Street, Suite 200, Stroudsburg, PA 18360 | 2017-03-01 |
| 1609311257 | St. Luke's Hospital Monroe Campus | Preventive Medicine | 200 St. Luke's Lane, Stroudsburg, PA 18360 | 2017-01-05 |
| 1225434194 | Dianne Kristina Colby | Veterinarian | 902 Hickory Valley Rd, Stroudsburg, PA 18360 | 2014-11-05 |
| Find all providers in zip 18360 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225390677 | Kleinsorge Family Eyecare Inc | Optometrist | 7740 Rte 611 Stroud Commons, Suite 2a, Stroudsburg, PA 18360-6501 | 2012-06-12 |
| 1902048762 | Independence Corporation | Optometrist | 1545 N 9th St, Suite 110, Stroudsburg, PA 18360-9266 | 2009-03-25 |
| 1629266523 | Thomas P. Mclaughlin | Optometrist | 600 Stroud Mall, Stroudsburg, PA 18360-1156 | 2007-10-05 |
| 1386782118 | Frank John Kleinsorge | Optometrist | 7400 Rte 611 Stroud Commons, Suite 2a, Stroudsburg, PA 18360 | 2007-02-02 |
| 1497821235 | Monroe Vision and Hearing Center, Inc. | Optometrist | 1036 North Ninth St, Stroudsburg, PA 18360 | 2006-11-24 |
| 1851484893 | Stephen Rudnick | Optometrist | 1036 N 9th St, Stroudsburg, PA 18360-1210 | 2006-10-02 |
| 1114935962 | Eugene G Wiragh | Optometrist | 6981 Rt 611, Eyeland Optical, Stroudsburg, PA 18360 | 2006-08-04 |
| 1033126842 | Romaine G Johnson | Optometrist | 1619 N 9th St, Suite 1, Stroudsburg, PA 18360-6501 | 2006-08-02 |
| 1457384760 | Sally E Diecidue | Optometrist | 300 Mcmichaels Dr, Stroudsburg, PA 18360-9149 | 2006-07-09 |
| 1760476758 | Brian Olzinski | Optometrist | 852 N 9th St, Stroudsburg, PA 18360-1206 | 2005-09-06 |
| Find all providers in STROUDSBURG | ||||
| City | STROUDSBURG |
| Zip Code | 18360 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.