Provider Demographics
NPI:1194800409
Name:BITTNER VISION ASSOCIATES
Entity type:Organization
Organization Name:BITTNER VISION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-486-1043
Mailing Address - Street 1:2384 FERGUSON RD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3550
Mailing Address - Country:US
Mailing Address - Phone:412-486-1043
Mailing Address - Fax:412-486-5619
Practice Address - Street 1:2384 FERGUSON RD
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3550
Practice Address - Country:US
Practice Address - Phone:412-486-1043
Practice Address - Fax:412-486-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000486152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA368587OtherHIGHMARK BLUE CROSS
PA410049150OtherRAILROAD MEDICARE
PA4741440001Medicare NSC
PA436393Medicare ID - Type Unspecified