NPI 1316310592 · live from the CMS NPI Registry
Jenna Korsan, OD
Optometrist in Wilmington, DE. National Provider Identifier 1316310592, active.
NPI record
| NPI | 1316310592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 5301 Limestone Rd, Suite 128, Wilmington, DE 19808 |
| Practice phone | 302-239-1933 |
| Enumerated | November 10, 2015 |
| Last updated | November 10, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I4-0000080 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.