Individual provider Active NPI

Gustav M Pfeil, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1255480810
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001103 Issued in PA
Practice address
7189 Saltsburg Rd
Pittsburgh, PA 15235-2252
Phone
(412) 704-7941
Fax
(412) 704-7589
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001103 PA Primary

Addresses

Primary practice location

7189 Saltsburg Rd
Pittsburgh, PA 15235-2252

Mailing address

7189 Saltsburg Rd
Pittsburgh, PA 15235-2252
Phone (412) 704-7941

Other identifiers 1

IdentifierTypeStateIssuer
0017249900003MedicaidPA

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
I20060329000471 PA Practitioner - Optometry 1557379708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7189 Saltsburg Rd
Pittsburgh, PA 15235-2252
Phone (412) 704-7941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Couch Eye Care Associates, P.C. Optometrist CurrentSince Jun 3, 2003 Accepting new patients

Locations

37 McMurray Rd
Pittsburgh, PA 15241
Phone (412) 835-3235

7189 Saltsburg Rd
Pittsburgh, PA 15235
Phone (412) 704-7941

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1255480810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7189 SALTSBURG RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352252",
            "telephone_number": "412-704-7941",
            "fax_number": "412-704-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7189 SALTSBURG RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352252",
            "telephone_number": "412-704-7941",
            "fax_number": "412-704-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIL",
        "first_name": "GUSTAV",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017249900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.