Provider Demographics
NPI:1699232314
Name:BITTNER, ROBERT TYLER (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TYLER
Last Name:BITTNER
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:DR GREGORY L. BITTNER
Mailing Address - Street 2:268 W UNION ST.
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501
Mailing Address - Country:US
Mailing Address - Phone:814-445-6664
Mailing Address - Fax:814-443-1108
Practice Address - Street 1:DR GREGORY L. BITTNER
Practice Address - Street 2:268 W UNION ST.
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501
Practice Address - Country:US
Practice Address - Phone:814-445-6664
Practice Address - Fax:814-443-1108
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003504152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103604081Medicaid