Provider Demographics
NPI:1801037072
Name:ANTHONY SILVETTI OD PC
Entity Type:Organization
Organization Name:ANTHONY SILVETTI OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SILVETTI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-681-6116
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-0356
Mailing Address - Country:US
Mailing Address - Phone:610-681-6116
Mailing Address - Fax:610-681-6128
Practice Address - Street 1:WEST END PLAZA ROUTE 209
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:PA
Practice Address - Zip Code:18331
Practice Address - Country:US
Practice Address - Phone:610-681-6116
Practice Address - Fax:610-681-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007077T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U22757Medicare UPIN
595679Medicare PIN