MEDICARE: PITTSBURGH VISION CENTER, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG001598	PA

General Provider Information

NPI Number	:	1083739643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITTSBURGH VISION CENTER, P.C.

Provider Business Mailing Address
First Line	:	4057 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-2520
Country	:	US
Telephone Number	:	724-941-2620
Fax Number	:	724-941-2640

Provider Business Practice Location Address
First Line	:	4057 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-2520
Country	:	US
Telephone Number	:	724-941-2620
Fax Number	:	724-941-2640

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH D. FALBO
Credential	:	D.O.
Telephone Number	:	724-941-2620

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	01/23/2008

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