Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | PA |
NPI | 1164573838 |
---|---|
Provider Name | Mr. George A Bittel |
First Address | Pittsburgh, PA 15228-1902 |
Second Address | Pittsburgh, PA 15228-1902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017437 | DORAL (01) | PA |
0018643100001 | (05) | PA |
42702 | DAVIS VISION (01) | PA |
4377100001 | MEDICARE-DMERC (01) | PA |
BI225298 | HIGHMARK BLUE SHIELD (01) | PA |