Provider Demographics
NPI:1104915933
Name:SERVEY, STEVEN MONT (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MONT
Last Name:SERVEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EAGLEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2841
Mailing Address - Country:US
Mailing Address - Phone:484-680-5660
Mailing Address - Fax:
Practice Address - Street 1:5 EAGLEVIEW LN
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2841
Practice Address - Country:US
Practice Address - Phone:484-680-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007558T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007386344Medicaid
PAU60700Medicare UPIN