Provider Demographics
NPI:1235134651
Name:VALLEY OUTPATIENT SURGICAL EYE CENTER
Entity Type:Organization
Organization Name:VALLEY OUTPATIENT SURGICAL EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:FEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-673-6577
Mailing Address - Street 1:614 MONONGAHELA AVE
Mailing Address - Street 2:
Mailing Address - City:GLASSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15045-1650
Mailing Address - Country:US
Mailing Address - Phone:412-673-6577
Mailing Address - Fax:412-673-5720
Practice Address - Street 1:614 MONONGAHELA AVE
Practice Address - Street 2:
Practice Address - City:GLASSPORT
Practice Address - State:PA
Practice Address - Zip Code:15045-1650
Practice Address - Country:US
Practice Address - Phone:412-673-6577
Practice Address - Fax:412-673-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000481152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA464840OtherPA BCBS HIGHMARK OF PA
PACM1348OtherRETIRED RAILROAD MEDICARE
PA135446OtherADVANTRA/GEALTH AMERICA/HEALTH ASSURANCE PIN
PA306738OtherUPMC PIN
PA306738OtherUPMC PIN
PA464840OtherPA BCBS HIGHMARK OF PA