Provider Demographics
NPI:1376643999
Name:STREILEIN, KARL E (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:E
Last Name:STREILEIN
Suffix:
Gender:M
Credentials:OD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-1627
Mailing Address - Country:US
Mailing Address - Phone:814-665-2020
Mailing Address - Fax:814-664-4382
Practice Address - Street 1:216 N CENTER ST
Practice Address - Street 2:
Practice Address - City:CORRY
Practice Address - State:PA
Practice Address - Zip Code:16407-1627
Practice Address - Country:US
Practice Address - Phone:814-665-2020
Practice Address - Fax:814-664-4382
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001563152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPA6532OtherEYEMED
PA0011539530005Medicaid
PA1901014-0139OtherNATIONAL VISION ADMIN
PAKA715401OtherBLUE SHIELD
PA42287OtherDAVIS VISION
PA9-6532OtherVISION BENEFITS OF AMERIC
PAKA1347367OtherBLUE SHIELD
PA6532OtherVISION BENEFITS OF AMERIC
PA0011539530006Medicaid
PA1901014-0239OtherNATIONAL VISION ADMIN
PA42289OtherDAVIS VISION
PA9-6532OtherVISION BENEFITS OF AMERIC
PA056794Medicare ID - Type Unspecified
PA4438550001Medicare NSC