Provider Demographics
NPI:1942518170
Name:BITTEL, MATTHEW R (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:R
Last Name:BITTEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:716 COAL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3708
Mailing Address - Country:US
Mailing Address - Phone:412-384-8007
Mailing Address - Fax:412-384-0995
Practice Address - Street 1:716 COAL VALLEY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3708
Practice Address - Country:US
Practice Address - Phone:412-384-8007
Practice Address - Fax:412-384-0995
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-2332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist