Provider Demographics
NPI:1932180809
Name:BISIGNANO, VICTOR F (OD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:F
Last Name:BISIGNANO
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 1:41 COMMANDERS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 VILLAGE ROW
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1061
Practice Address - Country:US
Practice Address - Phone:215-862-5659
Practice Address - Fax:215-862-0956
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009825810001Medicaid
PA1009825810001Medicaid
U62987Medicare UPIN