Individual
DR. DONALD HARRY SHESTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 S HILLS VLG, PITTSBURGH, PA 15241-1416
(412) 833-3334
(412) 833-1809
Mailing address
102 SPRUCE DR, MCMURRAY, PA 15317-3538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEP-008557
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00889842
—
PA
01
—
SH289048
PA. BLUE SHIELD
PA
Enumeration date
03/19/2007
Last updated
07/08/2007
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