Healthcare Provider Details

I. General information

NPI: 1578602876
Provider Name (Legal Business Name): FREEMAN & EGER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E NORTH AVE SUITE 116
PITTSBURGH PA
15212-4746
US

IV. Provider business mailing address

420 E NORTH AVE SUITE 116
PITTSBURGH PA
15212-4746
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6301
  • Fax: 412-749-2417
Mailing address:
  • Phone: 412-359-6301
  • Fax: 412-749-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEOO8157P
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberOEG000609
License Number StatePA

VIII. Authorized Official

Name: MRS. MICHELLE GERNAT
Title or Position: OFFICE MANAGER
Credential:
Phone: 412-359-6301