Provider Demographics
NPI:1225130479
Name:UHLER, MARK JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JOHN
Last Name:UHLER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:117 TRAILSIDE CT
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9170
Mailing Address - Country:US
Mailing Address - Phone:412-721-3962
Mailing Address - Fax:412-787-2114
Practice Address - Street 1:250 SUMMIT PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1202
Practice Address - Country:US
Practice Address - Phone:412-788-9193
Practice Address - Fax:412-788-9143
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2014-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG000452152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018189070001Medicaid
PA0018189070001Medicaid