Provider Demographics
NPI:1194782441
Name:NEFF, CYNTHIA GRACE (OD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:GRACE
Last Name:NEFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 FOURTH STREET
Mailing Address - Street 2:PO BOX 367
Mailing Address - City:FREEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16229-1130
Mailing Address - Country:US
Mailing Address - Phone:724-295-5127
Mailing Address - Fax:724-295-5130
Practice Address - Street 1:332 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:PA
Practice Address - Zip Code:16229-1130
Practice Address - Country:US
Practice Address - Phone:724-295-5127
Practice Address - Fax:724-295-5130
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000594152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017399OtherDORAL VISION
PA254325OtherHA
PA01725030Medicaid
PA314122OtherUPMC
PA569506OtherBLUE SHIELD
PAPA04888OtherVBA
PA397150OtherNVA
PA4478201OtherDAVIS
PA397150OtherNVA
PA01725030Medicaid