Provider Demographics
NPI:1023004306
Name:BITTEL, ROBERT P JR (OD FAAO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:BITTEL
Suffix:JR
Gender:M
Credentials:OD FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:716 COAL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3708
Mailing Address - Country:US
Mailing Address - Phone:412-384-8007
Mailing Address - Fax:412-384-0995
Practice Address - Street 1:5301 GROVE RD
Practice Address - Street 2:SUITE B530
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1691
Practice Address - Country:US
Practice Address - Phone:412-884-2020
Practice Address - Fax:412-885-4351
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000587152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABI056376Medicare ID - Type Unspecified
T29830Medicare UPIN