Provider Demographics
NPI:1396749180
Name:DIGESO, ANNA (OD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:DIGESO
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 1:575 ROUTE 28 STE 106
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1354
Mailing Address - Country:US
Mailing Address - Phone:908-725-0144
Mailing Address - Fax:908-722-6785
Practice Address - Street 1:575 ROUTE 28 STE 106
Practice Address - Street 2:BUILDING 1
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1354
Practice Address - Country:US
Practice Address - Phone:908-725-0144
Practice Address - Fax:908-722-6785
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00573100152WC0802X, 152WL0500X, 152WP0200X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3181351OtherOXFORD
NJ7904435OtherAETNA PPO
NJ3227615OtherAETNA HMO
NJNJ3100OtherEYEMED
NJ3227615OtherAETNA HMO
261569654OtherPHCS
NJ7904435OtherAETNA PPO
NJ261569654OtherCOMMISSION FOR THE BLIND
261569654OtherHORIZON BLUE CROSS/SHIELD
261569654OtherVISION CARE PLAN
261569654OtherVISION SERVICE PLAN
P3181351OtherOXFORD
261569654OtherQUALCARE PPO AND HMO
261569654OtherCONSUMER HEALTH NETWORK
261569654OtherDEVON
NJNJ3100OtherEYEMED
261569654OtherCIGNA
261569654OtherSUPERIOR VISION PLAN
261569654OtherVISION SERVICE PLAN