MEDICARE: DALMO OPTICAL CORP.

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	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA92663	OTHER	PA	VBA PROVIDER #
2	50528	OTHER	PA	DAVIS VISION PROV. #

General Provider Information

NPI Number	:	1760497580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALMO OPTICAL CORP.

Provider Business Mailing Address
First Line	:	5831 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1601
Country	:	US
Telephone Number	:	412-521-2100
Fax Number	:	421-521-9340

Provider Business Practice Location Address
First Line	:	5831 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1601
Country	:	US
Telephone Number	:	412-521-2100
Fax Number	:	421-521-9340

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JOY E KARAKIS
Credential	:
Telephone Number	:	412-521-2100

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/22/2020

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Directions to “DALMO OPTICAL CORP. ” Practice Location

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