Provider Demographics
NPI:1619281193
Name:TRESSLER, DUSTIN KRISTOFER (OD)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:KRISTOFER
Last Name:TRESSLER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1359 CONNELLSVILLE RD
Mailing Address - Street 2:STE 18
Mailing Address - City:LEMONT FURNACE
Mailing Address - State:PA
Mailing Address - Zip Code:15456-1076
Mailing Address - Country:US
Mailing Address - Phone:724-438-5120
Mailing Address - Fax:724-438-5142
Practice Address - Street 1:1359 CONNELLSVILLE RD
Practice Address - Street 2:STE 18
Practice Address - City:LEMONT FURNACE
Practice Address - State:PA
Practice Address - Zip Code:15456-1076
Practice Address - Country:US
Practice Address - Phone:724-438-5120
Practice Address - Fax:724-438-5142
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA196507Medicare PIN