Provider Demographics
NPI:1770534109
Name:GONZALEZ, CLAUDIA MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:MARIE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:MARIE
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:STIRLING EYECARE CENTER
Mailing Address - Street 2:166 POINT PLAZA
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-285-2618
Mailing Address - Fax:724-285-7507
Practice Address - Street 1:STIRLING EYECARE CENTER
Practice Address - Street 2:166 POINT PLAZA
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-285-2618
Practice Address - Fax:724-285-7507
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001085152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA410040111OtherRR MEDICARE PROVIDER #
PAG053228OtherHIGHMARK ID #
PA308237OtherUPMC PROVIDER ID #
PA511511OtherAETNA PROVIDER ID #
PAOEG001085OtherSTATE LICENSE
PAU33411OtherUPIN
PAU33411OtherUPIN
PAU33411Medicare UPIN
PA308237OtherUPMC PROVIDER ID #
PA0533228VVEMedicare PIN