Provider Demographics
NPI:1174524540
Name:SIEGEL, STEVEN M (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2026 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1902
Mailing Address - Country:US
Mailing Address - Phone:412-381-1542
Mailing Address - Fax:412-381-6662
Practice Address - Street 1:2026 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1902
Practice Address - Country:US
Practice Address - Phone:412-381-1542
Practice Address - Fax:412-381-6662
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0583445OtherCIGNA
0015916OtherDORAL VISION SERVICES
001728532000OtherDEPT. OF PUBLIC WELFARE
1502106OtherGATEWAY HEALTH PLAN
0279190001OtherUNITED HEALTH CARE DMERC
092623OtherBLUE SHEILD
80155OtherAETNA
0EG000678OtherTRI CARE FOR LIFE
205405OtherUPMC
PA001728532000Medicaid
4550-PAOtherVISION BENEFITS OF AMER
49947OtherDAVIS VISION
0015916OtherUPMC FOR YOU/BEST
16261OtherHEALTH AMERICA
4550-PAOtherVISION SERVICE PLAN
0015916OtherUPMC FOR YOU/BEST
092623OtherBLUE SHEILD