Healthcare Provider Details

I. General information

NPI: 1992788764
Provider Name (Legal Business Name): STEVEN PALEY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 WATERFRONT DR E
HOMESTEAD PA
15120-5004
US

IV. Provider business mailing address

5825 5TH AVE SUITE 317A
PITTSBURGH PA
15232-2749
US

V. Phone/Fax

Practice location:
  • Phone: 412-464-2514
  • Fax: 412-464-3388
Mailing address:
  • Phone: 412-464-2514
  • Fax: 412-464-3388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000572
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: