Healthcare Provider Details

I. General information

NPI: 1427031178
Provider Name (Legal Business Name): STAR OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 CENTRE AVE
PITTSBURGH PA
15219-4369
US

IV. Provider business mailing address

1860 CENTRE AVE
PITTSBURGH PA
15219-4369
US

V. Phone/Fax

Practice location:
  • Phone: 412-338-9966
  • Fax: 412-338-9969
Mailing address:
  • Phone: 412-338-9966
  • Fax: 412-338-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MISS RILEY C DAVIS
Title or Position: OWNER ADMINISTRATION
Credential:
Phone: 724-547-8199