Healthcare Provider Details

I. General information

NPI: 1316904154
Provider Name (Legal Business Name): SIEGEL EYE CARE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 E CARSON ST
PITTSBURGH PA
15203-1902
US

IV. Provider business mailing address

2026 E CARSON ST
PITTSBURGH PA
15203-1902
US

V. Phone/Fax

Practice location:
  • Phone: 412-381-1542
  • Fax: 412-381-6662
Mailing address:
  • Phone: 412-381-1542
  • Fax: 412-381-6662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000678
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD043503E
License Number StatePA

VIII. Authorized Official

Name: DR. STEVEN M SIEGEL
Title or Position: PRES
Credential: OD
Phone: 412-381-1542