Provider Demographics
NPI:1124192778
Name:HINTERBERGER, STEVEN FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:FRANK
Last Name:HINTERBERGER
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 1:252 PILLOW ST
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-7606
Mailing Address - Country:US
Mailing Address - Phone:724-287-1800
Mailing Address - Fax:724-287-6699
Practice Address - Street 1:252 PILLOW STREET
Practice Address - Street 2:SUITE # 201
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-7606
Practice Address - Country:US
Practice Address - Phone:724-287-1800
Practice Address - Fax:724-287-6699
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA006261T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA006261TOtherSTATE LICENSE
PA0133841Medicaid
PAT29448Medicare UPIN
PA0133841Medicaid