Provider Demographics
NPI:1700996519
Name:DR. MARK J. UHLER AND ASSOCIATES LLC
Entity type:Organization
Organization Name:DR. MARK J. UHLER AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARK J. UHLER, O.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:UHLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-787-2114
Mailing Address - Street 1:117 TRAILSIDE CT
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9170
Mailing Address - Country:US
Mailing Address - Phone:412-787-2114
Mailing Address - Fax:
Practice Address - Street 1:250 SUMMIT PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1202
Practice Address - Country:US
Practice Address - Phone:412-788-9193
Practice Address - Fax:412-788-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000452152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001818907 0001Medicaid
PA054219W2JMedicare PIN