Organization
ARTHUR O. DUPPSTADT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR ORLO DUPPSTADT O.D. (PRESIDENT)
(724) 845-7777
Entity
Organization
Contact information
Practice address
84 2ND ST, LEECHBURG, PA 15656-1345
(724) 845-7777
Mailing address
84 2ND ST, LEECHBURG, PA 15656-1345
(724) 845-7777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001965801
HIGHMARK PROVIDER NUMBER
—
05
—
0072162640002
—
PA
01
—
1972676138
NPI TYPE 1
—
01
—
OEG001288
OPTOMETRIC LICENSE
PA
Enumeration date
06/13/2007
Last updated
10/13/2012
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