Provider Demographics
NPI:1649451402
Name:H L SIEGEL S M SIEGEL OPTOMETRISTS
Entity type:Organization
Organization Name:H L SIEGEL S M SIEGEL OPTOMETRISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-381-1542
Mailing Address - Street 1:2026 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1902
Mailing Address - Country:US
Mailing Address - Phone:412-381-1542
Mailing Address - Fax:412-381-6662
Practice Address - Street 1:2026 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1902
Practice Address - Country:US
Practice Address - Phone:412-381-1542
Practice Address - Fax:412-381-6662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H L SIEGEL S M SIEGEL OPTOMETRISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-21
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0279190001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0279190001Medicare NSC