MEDICARE: KIMBERLY JOY CAMESI

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	156FC0800X	Contact Lens Technician/Technologist
2	156FX1800X	Optician

General Provider Information

NPI Number	:	1912394974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY JOY CAMESI

Provider Business Mailing Address
First Line	:	1225 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-3677
Country	:	US
Telephone Number	:	412-881-3090
Fax Number	:	412-744-1165

Provider Business Practice Location Address
First Line	:	1225 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-3677
Country	:	US
Telephone Number	:	412-881-3090
Fax Number	:	412-744-1165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	11/04/2015

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Directions to “ KIMBERLY JOY CAMESI ” Practice Location

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