MEDICARE: MATTHEW P CORSO OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG001720	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PA91720	OTHER	PA	VBA
3	022505	OTHER	PA	NVA
4	819424	OTHER	PA	FIRST PRIORITY
5	94935	OTHER	PA	GEISINGER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902991193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW P CORSO OD

Provider Business Mailing Address
First Line	:	3319 LAKE ARIEL HWY
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1174
Country	:	US
Telephone Number	:	570-253-6551
Fax Number	:	570-253-6553

Provider Business Practice Location Address
First Line	:	3319 LAKE ARIEL HWY
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1174
Country	:	US
Telephone Number	:	570-253-6551
Fax Number	:	570-253-6553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/21/2026

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Directions to “ MATTHEW P CORSO OD” Practice Location

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