Healthcare Provider Details
I. General information
NPI: 1962685016
Provider Name (Legal Business Name): CENTRAL OPTIQUE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2007
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 GREENTREE RD
PITTSBURGH PA
15220-3314
US
IV. Provider business mailing address
950 GREENTREE RD
PITTSBURGH PA
15220-3314
US
V. Phone/Fax
- Phone: 412-937-1112
- Fax: 412-937-1806
- Phone: 412-937-1112
- Fax: 412-937-1806
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SOPHIA
FANG
ZHANG
Title or Position: CEO
Credential: OPTICIAN
Phone: 412-937-1112