Healthcare Provider Details

I. General information

NPI: 1568745040
Provider Name (Legal Business Name): OAKMONT EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 11/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 3RD ST SUITE 1
OAKMONT PA
15139-1971
US

IV. Provider business mailing address

750 3RD ST SUITE 1
OAKMONT PA
15139-1971
US

V. Phone/Fax

Practice location:
  • Phone: 412-828-4080
  • Fax: 412-828-0574
Mailing address:
  • Phone: 412-828-4080
  • Fax: 412-828-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001063
License Number StatePA

VIII. Authorized Official

Name: DR. PATRICIA ANNE NAPOLITAN
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 412-828-4080