Provider Demographics
NPI:1598740847
Name:BEGG, JEFFREY A (OD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:BEGG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 OLD ROUTE 30
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6992
Mailing Address - Country:US
Mailing Address - Phone:724-836-1230
Mailing Address - Fax:724-836-5227
Practice Address - Street 1:259 OLD ROUTE 30
Practice Address - Street 2:SUITE A
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6992
Practice Address - Country:US
Practice Address - Phone:724-836-1230
Practice Address - Fax:724-836-5227
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000439152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01916621Medicaid
PAU91528Medicare UPIN
PA01916621Medicaid