Healthcare Provider Details

I. General information

NPI: 1093760001
Provider Name (Legal Business Name): HUET EYE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 WASHINGTON PIKE STE 77
BRIDGEVILLE PA
15017-2827
US

IV. Provider business mailing address

1155 WASHINGTON PIKE STE 77
BRIDGEVILLE PA
15017-2827
US

V. Phone/Fax

Practice location:
  • Phone: 412-221-7007
  • Fax: 412-220-8163
Mailing address:
  • Phone: 412-221-7007
  • Fax: 412-220-8163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000304
License Number StatePA

VIII. Authorized Official

Name: JANICE C HUET
Title or Position: OWNER/V.P.
Credential: O.D.
Phone: 412-749-9618