Provider Demographics
NPI:1164573838
Name:BITTEL, GEORGE A
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:A
Last Name:BITTEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:BITTEL
Other - Middle Name:
Other - Last Name:OPTICIANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:669 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1902
Mailing Address - Country:US
Mailing Address - Phone:412-563-1020
Mailing Address - Fax:412-563-6124
Practice Address - Street 1:669 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1902
Practice Address - Country:US
Practice Address - Phone:412-563-1020
Practice Address - Fax:412-563-6124
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA42702OtherDAVIS VISION
PA0017437OtherDORAL
PA0018643100001Medicaid
PA4377100001OtherMEDICARE-DMERC
PABI225298OtherHIGHMARK BLUE SHIELD