Provider Demographics
NPI:1336331842
Name:MCCAULEY, CAITLIN GLEE (OD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:GLEE
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2107
Mailing Address - Country:US
Mailing Address - Phone:412-364-9969
Mailing Address - Fax:412-364-9689
Practice Address - Street 1:956 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2107
Practice Address - Country:US
Practice Address - Phone:412-364-9969
Practice Address - Fax:412-364-9689
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001991152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
412-027OtherUPMC
77353OtherAETNA
PA0330410001Medicare NSC
117186EOPMedicare PIN