Healthcare Provider Details

I. General information

NPI: 1811913478
Provider Name (Legal Business Name): BIGLEY & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N. CHESTNUT STREET
SCOTTDALE PA
15683-0502
US

IV. Provider business mailing address

11 N CHESTNUT ST
SCOTTDALE PA
15683-0502
US

V. Phone/Fax

Practice location:
  • Phone: 724-887-5820
  • Fax: 724-887-5825
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG 001126
License Number StatePA

VIII. Authorized Official

Name: DR. DAVID M BIGLEY
Title or Position: PARTNER
Credential: OD
Phone: 724-887-5820