Provider Demographics
NPI:1710947296
Name:BYTOF, JOSEPH W (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:BYTOF
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 1:7 N BALTIMORE ST
Mailing Address - Street 2:P.O. BOX 41
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1211
Mailing Address - Country:US
Mailing Address - Phone:717-432-4911
Mailing Address - Fax:717-502-8783
Practice Address - Street 1:7 N BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1211
Practice Address - Country:US
Practice Address - Phone:717-432-4911
Practice Address - Fax:717-502-8783
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-005766-P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0503543OtherAETNA
PABY198966OtherHIGHMARK BLUE SHIELD
PA580001719OtherRAILROAD MEDICARE
PA0008929820001Medicaid
PA01721101OtherCAPITAL BLUE CROSS
PA198966Medicare PIN
PA0503543OtherAETNA
PA580001719OtherRAILROAD MEDICARE