Provider Demographics
NPI:1942431127
Name:ONSIGHT HEALTH CARE LLC
Entity Type:Organization
Organization Name:ONSIGHT HEALTH CARE LLC
Other - Org Name:ONHEALTHCARE DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-895-7280
Mailing Address - Street 1:1200 KIRTS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4899
Mailing Address - Country:US
Mailing Address - Phone:248-528-1981
Mailing Address - Fax:248-528-2963
Practice Address - Street 1:178 LAUREL DR
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1245
Practice Address - Country:US
Practice Address - Phone:724-759-7109
Practice Address - Fax:724-759-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102372661 0003Medicaid
PA6308690001Medicare NSC
PA166523Medicare PIN