Arthur O. Duppstadt P.c. | |
84 2nd St, Leechburg, PA 15656-1345 | |
(724) 845-7777 | |
Not Available |
Full Name | Arthur O. Duppstadt P.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 84 2nd St, Leechburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518161413 | NPI | - | NPPES |
001965801 | Other | HIGHMARK PROVIDER NUMBER | |
0072162640002 | Medicaid | PA | |
OEG001288 | Other | PA | OPTOMETRIC LICENSE |
1972676138 | Other | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001288 (Pennsylvania) | Primary |
Provider Name | Arthur O Duppstadt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972676138 PECOS PAC ID: 9133168073 Enrollment ID: I20050429000087 |
Mailing Address | Practice Location Address |
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Arthur O. Duppstadt P.c. 84 2nd St, Leechburg, PA 15656-1345 Ph: (724) 845-7777 | Arthur O. Duppstadt P.c. 84 2nd St, Leechburg, PA 15656-1345 Ph: (724) 845-7777 |
Leechburg Eye Care Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 451 Hyde Park Rd, Leechburg, PA 15656 Phone: 724-842-2020 Fax: 724-845-2800 | |
Arthur O Duppstadt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 84 2nd St, Leechburg, PA 15656 Phone: 724-845-7777 Fax: 724-845-3252 |