Provider Demographics
NPI:1437386927
Name:STEINHAFEL, NATHAN W (OD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:W
Last Name:STEINHAFEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:159 BUTLER RD STE 2
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-2328
Mailing Address - Country:US
Mailing Address - Phone:724-545-6688
Mailing Address - Fax:724-545-6630
Practice Address - Street 1:159 BUTLER RD STE 2
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201
Practice Address - Country:US
Practice Address - Phone:724-545-6688
Practice Address - Fax:724-535-6630
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-002392152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034374390001Medicaid