Individual
ARTHUR O DUPPSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
84 2ND ST, LEECHBURG, PA 15656-1345
(724) 845-7777
(724) 845-3252
Mailing address
84 2ND ST, LEECHBURG, PA 15656-1345
(724) 845-7777
(724) 845-3252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001011ZDJ0
MEDICARE PTAN
—
01
—
001965801
HIGHMARK PROVIDER NUMBER
—
05
—
1026200260001
—
PA
01
—
1518161413
NPI TYPE 2
—
01
—
OEG001288
OPTOMETRIC LICENSE
PA
Enumeration date
11/16/2006
Last updated
09/17/2014
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