Provider Demographics
NPI:1992788764
Name:PALEY, STEVEN (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:PALEY
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 1:5825 5TH AVE
Mailing Address - Street 2:SUITE 317A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2749
Mailing Address - Country:US
Mailing Address - Phone:412-464-2514
Mailing Address - Fax:412-464-3388
Practice Address - Street 1:360 WATERFRONT DR E
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-5004
Practice Address - Country:US
Practice Address - Phone:412-464-2514
Practice Address - Fax:412-464-3388
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000572152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01947637Medicaid
PA01947637Medicaid
PAU95249Medicare UPIN