Individual
DR. ROBERT CRAIG WHEATALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
391 EVANS CITY RD, BUTLER, PA 16001-6737
(724) 283-7303
(724) 283-8144
Mailing address
391 EVANS CITY RD, BUTLER, PA 16001-6737
(724) 283-8144
(724) 283-7303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000386
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000386
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008778600004
—
PA
01
—
0146830001
MEDICARE DME
PA
01
—
410024918
RAILROAD MEDICARE
—
01
—
425817
HIGHMARK
PA
Enumeration date
06/15/2005
Last updated
02/10/2025
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