Provider Demographics
NPI:1699858480
Name:DIFRANCESCO, VINCENT (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:DIFRANCESCO
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E BUTLER AVE
Mailing Address - Street 2:P.O. BOX 445
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4418
Mailing Address - Country:US
Mailing Address - Phone:215-646-2405
Mailing Address - Fax:215-646-6226
Practice Address - Street 1:123 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-4418
Practice Address - Country:US
Practice Address - Phone:215-646-2405
Practice Address - Fax:215-646-6226
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician