Healthcare Provider Details

I. General information

NPI: 1619093549
Provider Name (Legal Business Name): FRANK R. ARIANNA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4402 PENN AVE
PITTSBURGH PA
15224-1312
US

IV. Provider business mailing address

4402 PENN AVE
PITTSBURGH PA
15224-1312
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-5093
  • Fax: 412-683-8958
Mailing address:
  • Phone: 412-683-5093
  • Fax: 412-683-8958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number017705266
License Number StatePA

VIII. Authorized Official

Name: MR. FRANK R. ARIANNA
Title or Position: OWNER
Credential: OPTICIAN
Phone: 412-683-5093