Provider Demographics
NPI:1245235357
Name:BRIGGS, DAVID A (OD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2443 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-4005
Mailing Address - Country:US
Mailing Address - Phone:570-326-6100
Mailing Address - Fax:570-326-4806
Practice Address - Street 1:2443 E 3RD ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-4005
Practice Address - Country:US
Practice Address - Phone:570-326-6100
Practice Address - Fax:570-326-4806
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000214152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA42927OtherDAVIS VISION
PA3218033OtherAETNA HMO
PA41347OtherCOLE MANAGED VISION CARE
PA7698139OtherAETNA PPO/POS
PA397198OtherNVA
PACR1476039OtherBLUE CROSS/BLUE SHEILD
PA410047307OtherRAILROAD MEDICARE
PA816697OtherFIRST PRIORITY HEALTH
PA23772OtherSPECTERA
PA3218033OtherAETNA HMO
PAU81263Medicare UPIN