Individual provider Active NPI

Robert P Bittel Jr., OD FAAO

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1023004306
Registry record updated Feb 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000587 Issued in PA
Practice address
5301 Grove Rd
Suite B530
Pittsburgh, PA 15236-1691
Phone
(412) 884-2020
Fax
(412) 885-4351
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000587 PA Primary

Addresses

Primary practice location

5301 Grove Rd
Suite B530
Pittsburgh, PA 15236-1691

Mailing address

716 Coal Valley Rd
Jefferson Hills, PA 15025-3708
Phone (412) 384-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000452 PA Practitioner - Optometry 5092748475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

5301 Grove Rd
Suite B530
Pittsburgh, PA 15236-1692
Phone (412) 884-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OEG000587PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jul 10, 2022 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

716 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 384-8007

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

5301 Grove Rd
Ste B530
Pittsburgh, PA 15236
Phone (412) 884-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454716800000",
    "number": "1023004306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253708",
            "telephone_number": "412-384-8007",
            "fax_number": "412-384-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 GROVE RD",
            "address_2": "SUITE B530",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361691",
            "telephone_number": "412-884-2020",
            "fax_number": "412-885-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTEL",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.