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Physician Compare National (NPI:1255480810)

HEALTHCARE PROVIDER: GUSTAV M PFEIL O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1255480810
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557379708
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060329000471
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PFEIL
Individual professional last name
Provider First Name GUSTAV
Individual professional first name
Provider Middle Name MICHAEL
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text OD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7189 SALTSBURG RD
Group Practice or individual's line 1 address
City PITTSBURGH
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 152352252
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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