Provider Demographics
NPI:1316904154
Name:SIEGEL EYE CARE ASSOCIATES PC
Entity type:Organization
Organization Name:SIEGEL EYE CARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-381-1542
Mailing Address - Street 1:2026 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1902
Mailing Address - Country:US
Mailing Address - Phone:412-381-1542
Mailing Address - Fax:412-381-6662
Practice Address - Street 1:2026 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1902
Practice Address - Country:US
Practice Address - Phone:412-381-1542
Practice Address - Fax:412-381-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043503E207W00000X
PAOEG000678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA180037688OtherRAILROAD MEDICARE
PA410040502OtherRAILROAD MEDICARE
PA092623ULEMedicare PIN
PA600838ULEMedicare PIN
PA410040502OtherRAILROAD MEDICARE