Provider Demographics
NPI:1811064561
Name:PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD
Entity type:Organization
Organization Name:PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:BUERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-681-4220
Mailing Address - Street 1:5750 CENTRE AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3761
Mailing Address - Country:US
Mailing Address - Phone:412-681-4220
Mailing Address - Fax:412-681-4396
Practice Address - Street 1:5750 CENTRE AVE STE 230
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3761
Practice Address - Country:US
Practice Address - Phone:412-681-4220
Practice Address - Fax:412-681-4396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0701879Medicaid
WV3810005049Medicaid
PA0010040780001Medicaid
PA0010040780001Medicaid
WV9318061Medicare PIN