Provider Demographics
NPI:1639174022
Name:FEINMAN, BERNARD K (OD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:K
Last Name:FEINMAN
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 1:614 MONONGAHELA AVE
Mailing Address - Street 2:
Mailing Address - City:GLASSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15045-1650
Mailing Address - Country:US
Mailing Address - Phone:412-673-6577
Mailing Address - Fax:412-673-5720
Practice Address - Street 1:614 MONONGAHELA AVE
Practice Address - Street 2:
Practice Address - City:GLASSPORT
Practice Address - State:PA
Practice Address - Zip Code:15045-1650
Practice Address - Country:US
Practice Address - Phone:412-673-6577
Practice Address - Fax:412-673-5720
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000481152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA092570OtherPA BCBS HIGHMARK OF PA
PA306738OtherUPMC PIN
PA180003885OtherRETIRED RAILROAD MEDICARE
PA35446OtherADVANTRA/HEALTH AMERICA, INC/HEALTH ASSURANCE PIN
PA180003885OtherRETIRED RAILROAD MEDICARE
PA092570HTWMedicare PIN