Provider Demographics
NPI:1407261225
Name:DILLNER, ADAM JOSEPH (OD)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JOSEPH
Last Name:DILLNER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:673 CASTLE CREEK DRIVE EXT
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7864
Mailing Address - Country:US
Mailing Address - Phone:724-778-3937
Mailing Address - Fax:724-778-3946
Practice Address - Street 1:673 CASTLE CREEK DRIVE EXT
Practice Address - Street 2:SUITE 104
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7864
Practice Address - Country:US
Practice Address - Phone:724-778-3937
Practice Address - Fax:724-778-3946
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002956152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist