Provider Demographics
NPI:1972633683
Name:ROBERT P. BITTEL JR OD PC
Entity Type:Organization
Organization Name:ROBERT P. BITTEL JR OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:BITTEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-884-2020
Mailing Address - Street 1:5301 GROVE RD
Mailing Address - Street 2:SUITE B530
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1691
Mailing Address - Country:US
Mailing Address - Phone:412-884-2020
Mailing Address - Fax:412-885-4331
Practice Address - Street 1:5301 GROVE RD
Practice Address - Street 2:SUITE B530
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1691
Practice Address - Country:US
Practice Address - Phone:412-884-2020
Practice Address - Fax:412-885-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111783Medicare PIN
PA5678720001Medicare NSC