Individual
DR. ROBERT CRAIG WHEATALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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