MEDICARE: DANIELLE STARESINIC OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG000851	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	058539	OTHER	OH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790777498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE STARESINIC OD

Provider Business Mailing Address
First Line	:	4122 BUTLER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3162
Country	:	US
Telephone Number	:	412-682-2339
Fax Number	:	412-382-2809

Provider Business Practice Location Address
First Line	:	4122 BUTLER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3162
Country	:	US
Telephone Number	:	412-682-2339
Fax Number	:	412-682-2809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/17/2009

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Directions to “ DANIELLE STARESINIC OD” Practice Location

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