Provider Demographics
NPI:1659472694
Name:CIANNI, DANA C (OD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:C
Last Name:CIANNI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 TOWN CENTER DR STE B100
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1866
Mailing Address - Country:US
Mailing Address - Phone:215-702-1733
Mailing Address - Fax:215-702-1688
Practice Address - Street 1:950 TOWN CENTER DR STE B100
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1866
Practice Address - Country:US
Practice Address - Phone:215-702-1733
Practice Address - Fax:215-702-1688
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007081152W00000X
NJ27OA00710200152W00000X
PAOEG001797152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOEG 001797OtherPENNSYLVANIA OPTOMETRY LICENSE
NYTUV007081OtherLICENSE
NJ27OA00710200OtherLICENSE