Provider Demographics
NPI:1891800520
Name:PEIFER, ROBERT A JR (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:PEIFER
Suffix:JR
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 1:283 SCHUYLKILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1879
Mailing Address - Country:US
Mailing Address - Phone:610-933-6676
Mailing Address - Fax:
Practice Address - Street 1:283 SCHUYLKILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1879
Practice Address - Country:US
Practice Address - Phone:610-933-6676
Practice Address - Fax:610-933-6679
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007572T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA154241OtherHIGHMARK BLUE SHIELD ID
PA0670384000OtherBLUE SHIELD HMO ID
PA0530795OtherAETNA HMO/PPO
PA0670384000OtherBLUE SHIELD HMO ID