Individual
DR. FREDERIC A. NEISTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000893
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01746001
CAPITAL BLUE CROSS
PA
01
—
235326
UNITED HEALTHCARE
PA
01
—
2394
AETNA US HEALTHCARE
PA
01
—
391267
NVA
PA
01
—
52295
DAVIS VISION
PA
01
—
NE286510
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/15/2005
Last updated
02/12/2013
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