Provider Demographics
NPI:1578580387
Name:DRS PERKA MCCAULEY & CELIN
Entity Type:Organization
Organization Name:DRS PERKA MCCAULEY & CELIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-364-9969
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACM6133OtherRAILROAD MEDICARE
PA075601Medicare PIN
GACM6133OtherRAILROAD MEDICARE