Provider Demographics
NPI:1003881780
Name:CASADO STRINE, INES M (OD)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:M
Last Name:CASADO STRINE
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 1:3855 W CHESTER PIKE STE 335
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2304
Mailing Address - Country:US
Mailing Address - Phone:610-347-7672
Mailing Address - Fax:610-347-7673
Practice Address - Street 1:3855 W CHESTER PIKE STE 335
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2304
Practice Address - Country:US
Practice Address - Phone:610-347-7672
Practice Address - Fax:610-347-7673
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000440152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00199174OtherRAILROAD MEDICARE
PA103247416-0001Medicaid
PA019647HC0Medicare PIN
PAP00199174OtherRAILROAD MEDICARE
PAU72294Medicare UPIN